Mary Jane Henderson, GNP Valid NPI

Individual provider · Nurse Practitioner · Los Gatos, CA

NPI

1609865328

Type

Individual (Type 1)

Primary specialty

Nurse Practitioner

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363L00000X

License number

448450 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2005-10-14

Last updated

2007-07-08