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ANDREA HENDERSON
NPI 1992153704
Licensed Practical Nurse in Detroit, MI

Active since June 02, 2016
9131 BRADFORD, DETROIT, MI 48224(586) 996-1118 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrea Henderson NPPES

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

ANDREA HENDERSON (NPI 1992153704) is an individual licensed practical nurse in Detroit, Michigan, licensed in Michigan (4703115545) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1992153704
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameANDREA HENDERSON
Location Address9131 BRADFORDDetroit, MI 48224
Mailing Address9131 BradfordDetroit, MI 48224 · (586) 996-1118
Phone(586) 996-1118
Sole ProprietorNo
Enumeration DateJune 2, 2016
✔ NPI 1992153704 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 MI · 4703115545
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.
9131 BRADFORD, Detroit, MI 48224
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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 Andrea Henderson's NPI number?

The NPI number for Andrea Henderson is 1992153704. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Andrea Henderson located?

Andrea Henderson practices at 9131 Bradford, Detroit, MI 48224. The listed phone number is (586) 996-1118.

What is Andrea 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 Andrea Henderson was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.