| Philana J Henderson, CPNP | |
|
55 Route 130, Forestdale, MA 02644-1434 | |
| (508) 477-5306 | |
| Not Available |
| Full Name | Philana J Henderson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 55 Route 130, Forestdale, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134896327 | NPI | - | NPPES |
| N.A | Other | N/A |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0200X | Nurse Practitioner - Pediatrics | RN2365100 (Massachusetts) | Primary |
| Entity Name | Refuah Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669470019 PECOS PAC ID: 4880584416 Enrollment ID: O20040317001392 |
| Mailing Address | Practice Location Address |
|---|---|
| Philana J Henderson, CPNP 55 Route 130, Forestdale, MA 02644-1434 Ph: (508) 477-5306 | Philana J Henderson, CPNP 55 Route 130, Forestdale, MA 02644-1434 Ph: (508) 477-5306 |
Carrie Virginia Marshall, PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 53 Route 130, Forestdale, MA 02644 Phone: 508-477-5306 |
Judy M. Duarte, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Route 130, Forestdale, MA 02644 Phone: 508-477-5306 Fax: 508-477-0297 |
Teresa Ann Allen, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41 Deep Wood Dr, Forestdale, MA 02644 Phone: 508-658-2199 Fax: 774-961-3587 |
Mrs. Meagan Santos, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Route 130, Forestdale, MA 02644 Phone: 508-477-5306 |
Ms. Kristin Elizabeth Adams, F.N.P. M.S.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 Route 130, Forestdale, MA 02644 Phone: 508-833-1569 |
Katie Wilby, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Route 130, Forestdale, MA 02644 Phone: 508-477-5306 |
Tracie Moulton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Route 130, Forestdale, MA 02644 Phone: 508-477-5306 Fax: 508-477-0297 |