Lydia J Henderson, BSN, RN
Individual provider Active NPI Home Health Registered Nurse · West Alexandria, OH
NPI 1104337252 · NPPES record last updated Oct 17, 2017
Key facts
- NPI
- 1104337252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- RN.443724 (OH)
- Practice address
- 52 E Oak St
West Alexandria, OH 45381-1273 - Phone
- (937) 715-2068
- NPI assigned
- Oct 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.443724 | OH | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | RN.443724 | OH | Yes |
Addresses
Primary practice location
52 E Oak St
West Alexandria, OH 45381-1273
Mailing address
52 E Oak St
West Alexandria, OH 45381-1273
Phone (937) 715-2068
Other providers in West Alexandria, OH
- Tammy Jeanine Gray
- Angela K Grilliott
- Grant Leo Auhn Hale
- Jacquelyn Marie Hall
- Lisa Henderson
- Dale Dean Henry
- J&L Brighter Horizons LLC
- Jerri Klink
- Leanna M Knaus
- Erin Michael Koeller
All providers in West Alexandria, OH · Home Health Registered Nurse in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.