EARLENA HENDERSON
NPI 1376149724
Nurse Practitioner - Primary Care in Bronx, NY

Q: What is Earlena Henderson's NPI number?

The NPI number for Earlena Henderson is 1376149724. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Q: What is Earlena Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Earlena Henderson was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 10, 2020

2015 GRAND AVE APT 2F, BRONX, NY 10453(718) 299-7285 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 19, 2021, Dec 10, 2020 (2 updates tracked since 2020).

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About Earlena Henderson NPPES

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

EARLENA HENDERSON (NPI 1376149724) is an individual primary care provider in Bronx, New York, licensed in New York (F30996-01) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1376149724

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameEARLENA HENDERSON

Location Address2015 GRAND AVE APT 2FBronx, NY 10453-4576

Mailing Address1434 Williamsbridge Rd Fl 2Bronx, NY 10461-2507 · (718) 618-0401

Phone(718) 299-7285

Sole ProprietorNo

Enumeration DateDecember 10, 2020

Last NPPES UpdateMarch 19, 20212 updates tracked since enumeration

NPPES CertifiedMarch 19, 2021

✔ NPI 1376149724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NY · F30996-01

2015 GRAND AVE APT 2F, Bronx, NY 10453

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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 Earlena Henderson's NPI number?

The NPI number for Earlena Henderson is 1376149724. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Earlena Henderson located?

Earlena Henderson practices at 2015 Grand Ave Apt 2F, Bronx, NY 10453. The listed phone number is (718) 299-7285.

What is Earlena Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Earlena Henderson was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.