Deidra Henderson, RN is a
Registered Nurse based in Apache, Oklahoma. Deidra Henderson is licensed to practice in Oklahoma (license number R0074963) and her current practice location is
48025 County Street 2580, Apache, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(580) 450-3257.
NPI number for Deidra Henderson is 1891159927 and her current mailing address is Po Box 224, Apache, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1891159927.
Provider's Profile
| Full Name | Deidra Henderson |
|---|
| Gender | Female |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 48025 County Street 2580, Apache, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1891159927
- Provider Enumeration Date: 04/05/2016
- Last Update Date: 04/05/2016
Medical Identifiers
Medical identifiers for Deidra Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891159927 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | R0074963 (Oklahoma) | 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. Deidra 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 |
|---|
Deidra Henderson, RN
Po Box 224,
Apache, OK 73006-0224
Ph: (580) 450-3257 | Deidra Henderson, RN
48025 County Street 2580,
Apache, OK 73006-9708
Ph: (580) 450-3257 |
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