NPI | 1306372917 |
---|---|
Doing Business As | HENRIKSON PRIMARY CARE |
Entity Type | Organization |
Authorized Contact | JEAN LYNN HENRIKSON Owner 325-703-6670 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2017-05-03 |
Last Update Date | 2021-05-20 |