Mr Dale Scott Henderson, FNP is a
Registered Nurse based in Selma, California. Mr Dale Scott Henderson is licensed to practice in California (license number NPF 11662) and his current practice location is
1141 Rose Ave, Selma, California. He can be reached at his office (for appointments etc.) via phone at
(559) 891-6244.
NPI number for Mr Dale Scott Henderson is 1528160520 and his current mailing address is 2100 Powell St, Suite 900, Emeryville, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528160520.
Provider's Profile
| Full Name | Mr Dale Scott Henderson |
|---|
| Gender | Male |
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| Speciality | Registered Nurse |
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| Location | 1141 Rose Ave, Selma, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528160520
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 08/02/2010
Medical Identifiers
Medical identifiers for Mr Dale Scott Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528160520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | NPF 11662 (California) | 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. Mr Dale Scott 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 |
|---|
Mr Dale Scott Henderson, FNP
2100 Powell St, Suite 900,
Emeryville, CA 94608-1826
Ph: (510) 350-2600 | Mr Dale Scott Henderson, FNP
1141 Rose Ave,
Selma, CA 93662-3241
Ph: (559) 891-6244 |
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