Most Relevant Information
Provider Data
| NPI Number: | 1003501420 |
| Provider Name: | AMBER HENDERSON LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 405300000X |
| Specialty: | Prevention Professional |
| License Number: | 41447 |
Most Important Dates
| Enumeration Date: | 04/11/2023 |
| Last Updated: | 04/11/2023 |
Provider Practice Location
2200 SW GAGE BLVD
TOPEKA
KS
666220001
Practice Location Phone/Fax
| Phone: | 7853503111 |
| Fax: |
Provider Mailing Location
2200 SW GAGE BLVD
TOPEKA
KS
666220001
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |