Provider Demographics
NPI:1700424934
Name:HENDERSON, CIGI N (DNP, RN)
Entity Type:Individual
Prefix:MRS
First Name:CIGI
Middle Name:N
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:DNP, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 MCELREE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8317
Mailing Address - Country:US
Mailing Address - Phone:724-986-0284
Mailing Address - Fax:
Practice Address - Street 1:440 MCELREE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-8317
Practice Address - Country:US
Practice Address - Phone:724-986-0284
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-18
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN668181163WC0200X
PA126355367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine