Tamara Delquenna Henderson (NPI# 1114489879, PAC ID# 5395086789) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
Nation Provider ID (NPI) | 1114489879 |
PAC ID by PECOS | 5395086789 |
Professional Enrollment ID | I20190412000001 |
Full Name | Tamara Delquenna Henderson |
Organization Legal Name | MICHIGAN HEALTH SPECIALIST LLC |
Address |
3390 N State Rd Davison MI 48423-1154 |
Phone Number | 8106526333 |
Gender | F |
Graduation Year | 2018 |
Primary Specialty | NURSE PRACTITIONER |
Group Practice PAC ID | 6002183837 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
3390 N State Rd, Davison, MI 48423-1154 | 8106526333 | MICHIGAN HEALTH SPECIALIST LLC |
G3494 Beecher Rd, Flint, MI 48532-2735 | 8103099734 | MICHIGAN HEALTH SPECIALIST LLC |
Organization Legal Name | MICHIGAN HEALTH SPECIALIST LLC |
Physicians | 2 |
Name | Specialty | Organization | Address |
---|---|---|---|
Rachel G Kennedy | Nurse Practitioner | Michigan Health Specialist LLC | G3494 Beecher Rd, Flint, MI 48532-2735 |
Street Address |
3390 N STATE RD |
City | DAVISON |
State | MI |
Zip | 48423-1154 |
Name | Specialty | Organization | Address |
---|---|---|---|
David R Sergy | Chiropractic | 519 W Flint St, Davison, MI 48423-1005 | |
Amanda L Winston | Internal Medicine | 9040 Davison Rd, Davison, MI 48423-1037 | |
Heather M Brown | Qualified Speech Language Pathologist | 124 S State Rd, Davison, MI 48423-1347 | |
Allysha Walters | Speech Language Pathologist | Altruistic Speech and Language Services LLC | 124 S State Rd, Davison, MI 48423-1347 |
Christopher Theodore Hehemann | Podiatry | Professional Foot and Ankle Centers, PC | 605 S State St, Davison, MI 48423-1515 |
Mark R Williams | Podiatry | Professional Foot and Ankle Centers, PC | 605 S State St, Davison, MI 48423-1515 |
Steven Dean Hehn | Chiropractic | 9160 Lapeer Rd D, Davison, MI 48423-1743 | |
Asif Ishaque | Internal Medicine | 9244 Lapeer Rd, Davison, MI 48423-1757 | |
Deborah Dimond | Nurse Practitioner | Asif Ishaque Md PC | 9244 Lapeer Rd, Davison, MI 48423-1757 |
Andres Lambaria | Optometry | Pco PC | 1063 S State Rd, Suite 3, Davison, MI 48423-1900 |
Find all physicians in zip 48423 |
City | DAVISON |
Zip Code | 48423 |
Specialty | NURSE PRACTITIONER |
City + Specialty | DAVISON + NURSE PRACTITIONER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.