Henderson, Micah
Henderson, Micah is an individual health care provider with primary practice located at 1650 Cochrane Cir , Fort Carson CO 80913-4613. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Henderson, Micah can be contacted via phone (719) 524-2273.Contact Information
Primary practice address
1650 Cochrane Cir
Fort Carson CO 80913-4613
Phone: (719) 524-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APN0992015 | Colorado |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN0992015 | Colorado |
Profile Details
| NPI number | 1427481506 |
|---|---|
| LBN Legal business name | Henderson, Micah |
| Credentials | DNP, FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 13th, 2013 |
| Last updated | May 1st, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427481506 | NPPES |
| Florida | Other | ARNP9195240 | LICENSE |
| Florida | Other | 45681 | LICENSE |
| Florida | Other | APN0992015 | LICENSE |
| Florida | Other | HN217Z | LICENSE |
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