BREON MAREE HENDERSON RNC, MSN, CLC
NPI 1851837454
Registered Nurse - Lactation Consultant in Fort Bragg, CA

Q: What is Breon Henderson's NPI number?

The NPI number for Breon Henderson is 1851837454. It was assigned to this individual provider in the NPPES registry on January 6, 2017.

Q: What is Breon Henderson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Lactation Consultant, with taxonomy code 163WL0100X.

Q: When was this NPI record last updated?

The NPPES record for Breon Henderson was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 January 06, 2017

510 CYPRESS ST, STE D, FORT BRAGG, CA 95437(707) 964-5696(707) 964-6274 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Breon Maree Henderson Rnc, Msn, Clc NPPES

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

BREON MAREE HENDERSON RNC, MSN, CLC (NPI 1851837454) is an individual lactation consultant provider in Fort Bragg, California, licensed in California (95023758) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1851837454

Entity TypeIndividualFemale

Primary Taxonomy163WL0100X

Provider Legal NameBREON MAREE HENDERSONCredential: RNC, MSN, CLC

Location Address510 CYPRESS ST, STE DFort Bragg, CA 95437-5411

Mailing Address510 Cypress St, Ste DFort Bragg, CA 95437-5411 · (707) 964-5696 · Fax (707) 964-6274

Phone(707) 964-5696

Fax(707) 964-6274

Sole ProprietorNo

Enumeration DateJanuary 6, 2017

✔ NPI 1851837454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Lactation ConsultantNursing Service Providers

Taxonomy Code163WL0100X

License✔ Licensed in CA · 95023758

510 CYPRESS ST, Fort Bragg, CA 95437

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LYNETTE KLINE O.D.

Optometrist

510 CYPRESS ST, STE A
FORT BRAGG, CA 95437

Mendocino County (707) 961-1037

MS. ANDREA LYNN SHAFIR L.AC.

Acupuncturist

510 CYPRESS ST, SUITE C200
FORT BRAGG, CA 95437

Mendocino County (707) 964-1111

KENNETH ROGER SUSMAN M.D.

Specialist

510 CYPRESS ST, SUITE B
FORT BRAGG, CA 95437

Mendocino County (707) 961-1972

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 Breon Henderson's NPI number?

The NPI number for Breon Henderson is 1851837454. It was assigned to this individual provider in the NPPES registry on January 6, 2017.

Where is Breon Henderson located?

Breon Henderson practices at 510 Cypress St Ste D, Fort Bragg, CA 95437. The listed phone number is (707) 964-5696.

What is Breon Henderson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Lactation Consultant, with taxonomy code 163WL0100X.

When was this NPI record last updated?

The NPPES record for Breon Henderson was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.