IndividualActive
Justin Henderson, RN, CWCN
NPI 1013744507 · Wound Care Registered Nurse · Fargo, ND
Provider details
- NPI number
- 1013744507
- Entity type
- Individual
- Primary specialty
- Wound Care Registered NurseNursing Service Providers
- Credential
- RN, CWCN
- Sex
- Male
- Sole proprietor
- No
- License
- R33505 (ND)
Specialties & taxonomies
Nursing Service Providers
Practice location
2101 Elm St N
Fargo, ND 58102-2417
Phone: (701) 451-4688
Approximate (ZIP-level) locationGet directions
Mailing address
414 Interstate Blvd
Harwood, ND 58042-4001
Registry dates
- Enumerated
- 2024-09-18
- Last updated
- 2024-09-18
- Certified
- 2024-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.