Provider Demographics
NPI:1932769643
Name:DENY, HENRIETTA MIRIS
Entity Type:Individual
Prefix:
First Name:HENRIETTA
Middle Name:MIRIS
Last Name:DENY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4118 INDIAN PAINTBRUSH LN
Mailing Address - Street 2:
Mailing Address - City:HEARTLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75126-0796
Mailing Address - Country:US
Mailing Address - Phone:330-957-9746
Mailing Address - Fax:
Practice Address - Street 1:4118 INDIAN PAINTBRUSH LN
Practice Address - Street 2:
Practice Address - City:HEARTLAND
Practice Address - State:TX
Practice Address - Zip Code:75126-0796
Practice Address - Country:US
Practice Address - Phone:330-957-9746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-14
Last Update Date:2019-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care