| Doctor Name: | CATHERINE HENDERSON |
| NPI Number: | 1093145567 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | RN107776 |
| Business Practice Address: | 37624 Se Fury St Ste 101 Snoqualmie, WA - 980659680 |
| Business Phone Number: | 4258882016 |
| Business Fax Number: | 2063205170 |
| Mailing Address: | Po Box 25608, SALT LAKE CITY |
| State: | UT |
| Postal Code: | 841250608 |
| Phone Number: | 2063204476 |
| Fax Number: | 2065687043 |
| NPI Enumeration Date: | 11/20/2013 |
| NPI Last Update Date: | 04/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN107776 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |