ERICKA L HENDERSON
NPI 1184473555
Driver in Fontana, CA
About Ericka L Henderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERICKA L HENDERSON (NPI 1184473555) is an individual driver provider in Fontana, California, licensed in California (B3639978) and active in the NPI registry since May 2024.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ericka Henderson's NPI number?
The NPI number for Ericka Henderson is 1184473555. It was assigned to this individual provider in the NPPES registry on May 16, 2024.
Where is Ericka Henderson located?
Ericka Henderson practices at 15073 Primrose Ct, Fontana, CA 92336. The listed phone number is (909) 776-6775.
What is Ericka Henderson's specialty?
The primary specialty registered for this NPI is Driver with taxonomy code 172A00000X.
When was this NPI record last updated?
The NPPES record for Ericka Henderson was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ericka L Henderson · NPI 1184473555
Driver provider in Fontana, California. Individual provider, active in the CMS NPPES registry since May 16, 2024.
## Identity
- **NPI:** 1184473555 (Entity type: Individual)
- **Enumerated:** May 16, 2024
- **Primary specialty:** Driver · taxonomy 172A00000X
- **State license:** B3639978 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 15073 PRIMROSE CT, Fontana, CA 92336-1634
- **Phone:** (909) 776-6775
## Record status
- **NPPES last updated:** May 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1184473555) · Data from the CMS NPPES public registry.