COURTNEY L. HENDERSON M.D. – NPI #1073678355
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

COURTNEY HENDERSON is a physician located in PEACH SPRINGS, AZ. NPPES has assigned the NPI number 1073678355 to COURTNEY HENDERSON on December 27, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for COURTNEY HENDERSON below.

NPI Profile for
COURTNEY L. HENDERSON

NPI Number
1073678355
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
COURTNEY L. HENDERSON
Credentials
M.D.
Primary location
943 HUALAPAI WAY
PEACH SPRINGS, AZ 86434
Phone: (928) 769-2900 Fax:
Mailing address
5327 HIGH WHEELS CT
COLUMBIA, MD 21044-5719
Phone: (301) 596-3707 Fax:
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
VA 0101239024

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.