Katara Jo Henderson
NPI #1013518174 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1013518174
- Entity Type
- Individual
- Name
- Katara Jo Henderson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Nov 5, 2020
- Last Updated
- Feb 5, 2021
Practice Location
- Address
- 640 JACKSON ST
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55101-2595
- Phone
- (651) 254-3456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Nurse Anesthetist, Certified Registered |
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