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MALLORY HENDERSON LPN
NPI 1669168704
Licensed Practical Nurse in Sauquoit, NY

Active since April 12, 2023
3084 ONEIDA ST, SAUQUOIT, NY 13456(315) 794-6771 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mallory Henderson Lpn NPPES

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

MALLORY HENDERSON LPN (NPI 1669168704) is an individual licensed practical nurse in Sauquoit, New York, licensed in New York (3) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1669168704
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMALLORY HENDERSONCredential: LPN
Location Address3084 ONEIDA STSauquoit, NY 13456-2916
Mailing Address9402 Paris Hill RdSauquoit, NY 13456-2118
Phone(315) 794-6771
Sole ProprietorYes
Enumeration DateApril 12, 2023
NPPES CertifiedApril 12, 2023
✔ NPI 1669168704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 3
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3084 ONEIDA ST, Sauquoit, NY 13456
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Other Names 1

Former Name (1)Mallory Mazurowski

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mallory Henderson's NPI number?

The NPI number for Mallory Henderson is 1669168704. It was assigned to this individual provider in the NPPES registry on April 12, 2023. The provider is also known as Mallory Mazurowski.

Where is Mallory Henderson located?

Mallory Henderson practices at 3084 Oneida St, Sauquoit, NY 13456. The listed phone number is (315) 794-6771.

What is Mallory Henderson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Mallory Henderson was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.