Henry, Kristine Mary

Henry, Kristine Mary is an individual health care provider with primary practice located at 131 Stony Cir Ste 1600 , Santa Rosa CA 95401-9520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Henry, Kristine Mary can be contacted via phone (707) 541-7700.

Contact Information

Primary practice address
131 Stony Cir Ste 1600 Santa Rosa CA 95401-9520
Phone: (707) 541-7700
Fax: (707) 573-5415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP5225 California

Profile Details

NPI number 1629243993
LBN Legal business name Henry, Kristine Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Mar 7th, 2023 - about 3 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 1629243993 NPPES
California Other NP5225 STATE MEDICAL LICENSE

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