| Annie Laura Henderson, APNP | |
|
10 Tower Dr, Sun Prairie, WI 53590-1239 | |
| (608) 825-3500 | |
| (608) 825-3793 |
| Full Name | Annie Laura Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 10 Tower Dr, Sun Prairie, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649038258 | NPI | - | NPPES |
| 1649038258 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 15002-33 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 15002-33 (Wisconsin) | Primary |
| Entity Name | Dean Health Systems Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053358846 PECOS PAC ID: 7012827983 Enrollment ID: O20031105000584 |
| Mailing Address | Practice Location Address |
|---|---|
| Annie Laura Henderson, APNP 514 Thomas Rd, Wales, WI 53183-9778 Ph: (262) 893-8079 | Annie Laura Henderson, APNP 10 Tower Dr, Sun Prairie, WI 53590-1239 Ph: (608) 825-3500 |
Rochelle Allexia Codlyn, MBA,MSN, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2268 Manley Dr, Sun Prairie, WI 53590 Phone: 608-286-4641 | |
Maria A Carwile, APNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2651 Windsor St, Sun Prairie, WI 53590 Phone: 608-837-2206 Fax: 608-837-9752 | |
Stephanie M Stenseth, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3786 | |
Carol Jan Morris, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3500 Fax: 608-825-3786 | |
Bailey Elizabeth Higby, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 650 Spring St Unit 5106, Sun Prairie, WI 53590 Phone: 563-726-3383 | |
Laura B Pethan, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 608-825-3008 Fax: 608-825-3786 | |
Mrs. Hilary Jahnke, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 10 Tower Dr, Sun Prairie, WI 53590 Phone: 603-250-3008 |