Henderson, Lisa Yvette
Henderson, Lisa Yvette is an individual health care provider with primary practice located at Va Black Hills Health Care System 113 Comanche Rd, Fort Meade SD 57741. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Henderson, Lisa Yvette can be contacted via phone (605) 745-2000.Contact Information
Primary practice address
Va Black Hills Health Care System 113 Comanche Rd
Fort Meade SD 57741
Phone: (605) 745-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 118316 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 53-77543-021 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 118316 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 53-77543-021 | Kansas |
Profile Details
| NPI number | 1912424243 |
|---|---|
| LBN Legal business name | Henderson, Lisa Yvette |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2017 |
| Last updated | May 8th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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