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Search › Utah › 363A00000X

Stacie Henderson, PA

NPI 1982288486 · on the registry since 2021

Practice

Address
972 N 600 E
Spanish Fork, UT 84660
Phone
(801) 465-4896
Fax
(801) 465-3267
Organisation at this address
Revere Health Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
14

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
390200000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah