Deidra Henderson, RN in Apache, OK - Registered Nurse

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.

Contact Information

	Deidra Henderson, RN
	48025 County Street 2580, Apache, OK 73006-9708
	(580) 450-3257
	(580) 588-2289

Provider's Profile

Full Name	Deidra Henderson
Gender	Female
Speciality	Registered Nurse
Location	48025 County Street 2580, Apache, Oklahoma
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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Deidra Henderson, RN - Registered Nurse in Apache, OK