IndividualActive
Annie Henderson, APNP
NPI 1649038258 · Nurse Practitioner · Sun Prairie, WI
Provider details
- NPI number
- 1649038258
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 15002-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10 Tower Dr
Sun Prairie, WI 53590-1239
Phone: (608) 825-3500
Fax: (608) 825-3793
Approximate (ZIP-level) locationGet directions
Mailing address
514 Thomas Rd
Wales, WI 53183-9778
Additional practice locations (1)
- 514 Thomas RdWales, WI 53183-9778Phone: (262) 893-8079
Registry dates
- Enumerated
- 2024-03-08
- Last updated
- 2024-06-18
- Certified
- 2024-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.