| Mrs Candace Ohm Henderson, NP | |
|
301 Andrews Ave, Fort Rucker, AL 36362-7193 | |
| (334) 255-7000 | |
| Not Available |
| Full Name | Mrs Candace Ohm Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 14 Years |
| Location | 301 Andrews Ave, Fort Rucker, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376883991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 1110439 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Medical Center Enterprise | Enterprise, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Enterprise Women's Center, Llc. | 2163440843 | 3 |
| Entity Name | Enterprise Women's Center, Llc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922190479 PECOS PAC ID: 2163440843 Enrollment ID: O20051110000988 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Candace Ohm Henderson, NP 301 Andrews Ave, Fort Rucker, AL 36362-7193 Ph: (334) 255-7000 | Mrs Candace Ohm Henderson, NP 301 Andrews Ave, Fort Rucker, AL 36362-7193 Ph: (334) 255-7000 |
Ms. Candice M Hobbs, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Andrews Avenue, Fort Rucker, AL 36362 Phone: 334-255-7649 | |
Mrs. Ida Sue Montgomery, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Andrews Avenue, Lyster Army Outpatient Clinic, Fort Rucker, AL 36362 Phone: 334-255-7387 | |
Adam D. Keller, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Andrews Ave, Fort Rucker, AL 36362 Phone: 342-557-0283 Fax: 344-255-7210 | |
Mrs. Annie Stevens Boothe, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Andrews Avenue, Fort Rucker, AL 36362 Phone: 334-255-7387 | |
Laura A Sullivan, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Dept Of Vet Affairs Wiregrass Hbpc, 301 Andrews Avenue, Fort Rucker, AL 36362 Phone: 334-272-4670 Fax: 334-503-7869 | |
Mrs. Barbara June Hector, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 72 N Harris Dr, Fort Rucker, AL 36362 Phone: 334-255-7341 Fax: 334-255-7368 |