Stacie Henderson, PA

NPI #1982288486 in Spanish Fork, Utah

Provider Information

NPI Number: 1982288486
Entity Type: Individual
Name: Stacie Henderson, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: May 11, 2021
Last Updated: Mar 9, 2023

Practice Location

Address: 972 N 600 E
City: Spanish Fork
State: Utah
ZIP Code: 84660-1306
Phone: (801) 465-4896

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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