DR. COURTNEY LYNETTE HENDERSON M.D. - NPI 1073678355 - General Practice in Peach Springs, AZ

Q: What is Courtney Henderson's NPI number?

The NPI number for Courtney Henderson is 1073678355. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Q: What is Courtney Henderson's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

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About Dr. Courtney Lynette Henderson M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. COURTNEY LYNETTE HENDERSON M.D. (NPI 1073678355) is an individual general practice provider in Peach Springs, Arizona, licensed in Virginia (0101239024) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1073678355

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameDR. COURTNEY LYNETTE HENDERSONCredential: M.D.

Location Address943 HUALAPAI WAYPeach Springs, AZ 86434

Mailing Address5327 High Wheels CtColumbia, MD 21044-5719 · (301) 596-3707

Phone(928) 769-2900

Sole ProprietorYes

Enumeration DateDecember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1073678355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in VA · 0101239024

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

943 HUALAPAI WAY, Peach Springs, AZ 86434

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