Cindy Henson
Individual provider Active NPI School Registered Nurse · Hagerman, NM
NPI 1609223312 · NPPES record last updated May 23, 2016
Key facts
- NPI
- 1609223312
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Registered Nurse 163WS0200X
- License
- R35787 (NM)
- Practice address
- 310 N York Ave
Hagerman, NM 88232-9632 - Phone
- (575) 910-6265
- NPI assigned
- May 23, 2016
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R35787 | NM | MD | School Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | R35787 | NM | Yes |
Addresses
Primary practice location
310 N York Ave
Hagerman, NM 88232-9632
Mailing address
310 N York Ave
Hagerman, NM 88232-9632
Phone (575) 910-6265
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46683569 | Medicaid | NM |
Other providers in Hagerman, NM
- Ytzel Barrientos Gonzalez
- Jessica Bundy
- Debra Sue Campos
- Katelyn Gray
- Katelyn Johnson
- Laura Lorraine Orozco
- Carolyn Marie Owens I
- Crystal Denise Pisana
- Warren Scott
All providers in Hagerman, NM · School Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 23, 2016. 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.