Diane V Henderson (NPI# 1225020696, PAC ID# 2062474190) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1225020696 |
PAC ID by PECOS | 2062474190 |
Professional Enrollment ID | I20041101000994 |
Full Name | Diane V Henderson |
Address |
1634 Marvelle Ave Rocky Mount NC 27803-2326 |
Gender | F |
Credential | CSW |
Graduation Year | 1982 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
1634 Marvelle Ave, Rocky Mount, NC 27803-2326 |
Street Address |
1634 MARVELLE AVE |
City | ROCKY MOUNT |
State | NC |
Zip | 27803-2326 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lawanda A Pulley | Nurse Practitioner | 1107 W Raleigh Blvd, Rocky Mount, NC 27803-2767 | |
Christa Fleming | Physician Assistant | Opportunities Industrialization Center, Inc | 801 Williford St, Rocky Mount, NC 27803-3825 |
Tisa O Roberts | Family Medicine | Opportunities Industrialization Center, Inc | 801 Williford St, Rocky Mount, NC 27803-3825 |
William A Munn | Physician Assistant | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
Sean M Epps | Physician Assistant | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
Michael L Dial | Physician Assistant | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
John V Puthenveetil | Cardiovascular Disease (cardiology) | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
Charles Hunter | Physician Assistant | Family Care Partners of North Carolina, Pllc | 10589 E Nc Hwy 97, Rocky Mount, NC 27803-9208 |
City | ROCKY MOUNT |
Zip Code | 27803 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | ROCKY MOUNT + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Diane V Henderson.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.