Henderson, Lynn Ellen

Henderson, Lynn Ellen is an individual health care provider with primary practice located at Po Box 13492 , Austin TX 78711-3492. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Allopathic & Osteopathic Physicians / Adult Medicine. Allopathic & Osteopathic Physicians / Adult Medicine is her primary health care specialty. Henderson, Lynn Ellen can be contacted via phone (415) 644-5051.

Contact Information

Primary practice address
Po Box 13492 Austin TX 78711-3492
Phone: (415) 644-5051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001704 Indiana
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X AP5555 Arizona

Profile Details

NPI number 1487711586
LBN Legal business name Henderson, Lynn Ellen
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Feb 1st, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487711586 NPPES
Indiana MEDICAID 200514540
Indiana Other 000000562731

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