MISS Mary Elaine Henricksen, RN

NPI #1134297021 in Phoenix, Arizona

Provider Information

NPI Number
1134297021
Entity Type
Individual
Name
MISS Mary Elaine Henricksen, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Obstetric, Inpatient
Credential
RN
Enumeration Date
Dec 1, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4212 N 16TH ST
State
Arizona
ZIP Code
85016-5319
Phone
(602) 263-1511

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Obstetric, InpatientObstetric, Inpatient

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