Brianna Juanita Henderson, REGISTERED NURSE is a
Technician, Pathology - Phlebotomy based in Chicago, Illinois. Brianna Juanita Henderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
332 S Michigan Ave Ste 900, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 265-9005.
NPI number for Brianna Juanita Henderson is 1649023748 and her current mailing address is 332 S Michigan Ave Ste 900, Chicago, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1649023748.
Provider's Profile
| Full Name | Brianna Juanita Henderson |
|---|
| Gender | Female |
|---|
| Speciality | Technician, Pathology - Phlebotomy |
|---|
| Location | 332 S Michigan Ave Ste 900, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1649023748
- Provider Enumeration Date: 04/09/2024
- Last Update Date: 04/09/2024
Medical Identifiers
Medical identifiers for Brianna Juanita Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649023748 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 041.513287 (Illinois) | Secondary |
| 246RP1900X | Technician, Pathology - Phlebotomy | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Brianna Juanita Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Brianna Juanita Henderson, REGISTERED NURSE 332 S Michigan Ave Ste 900, Chicago, IL 60604-4393 Ph: (708) 265-9005 | Brianna Juanita Henderson, REGISTERED NURSE 332 S Michigan Ave Ste 900, Chicago, IL 60604-4393 Ph: (708) 265-9005 |
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