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Contact Information

KAREN J HENDERSON, RN
109 W BLAND ST
ROSWELL, NM88203-5708
 Phone: 505-623-1480
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for KAREN J HENDERSON · (Female)

NPI # 1790897031
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 08/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NM License # R21381
  • NM Medicaid 77456581
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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