DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHASTA ELIZABETH HENDERSON, MD

Active Sole Proprietor

SHASTA ELIZABETH HENDERSON, MD is a Orthopaedic Trauma healthcare provider located in GLENDALE, Arizona. NPI 1316383953 is currently active in the NPPES registry. Verify at CMS.

Orthopaedic Trauma · GLENDALE, AZ

Registration Details

NPI Number
1316383953
Provider Type
Individual
Gender
Female
NPI Issued
May 21, 2013 (13.253409206548 yrs)
Last Updated
May 11, 2025
Licenses
83022 (SC)
74368 (AZ)
Sole Proprietor
Yes

Practice Information

Address
5601 W EUGIE AVE STE 100
GLENDALE, AZ, 853041256
Browse AZ providers · Browse ZIP 85304
Phone
6028654510
Primary Specialty
Orthopaedic Trauma
207XX0801X
Additional Specialty
Orthopaedic Trauma

Other Orthopaedic Trauma Providers in GLENDALE, AZ

Name Credential NPI
MATTHEW LORENC SODERLUND DO 1003310970
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.