Most Relevant Information
Provider Data
| NPI Number: | 1003311887 |
| Provider Name: | ANGELA M HENDERLONG APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 115605 |
Most Important Dates
| Enumeration Date: | 03/26/2018 |
| Last Updated: | 06/10/2024 |
Provider Practice Location
2660 SW 3RD ST
TOPEKA
KS
666062442
Practice Location Phone/Fax
| Phone: | 7853549591 |
| Fax: |
Provider Mailing Location
2660 SW 3RD ST
TOPEKA
KS
666062442
Provider Mailing Phone/Fax
| Phone: | 7853549591 |
| Fax: |