Provider Demographics
NPI:1285450304
Name:HENDERSON, MARICELA DELGADO (RN-BSN)
Entity type:Individual
Prefix:MRS
First Name:MARICELA
Middle Name:DELGADO
Last Name:HENDERSON
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3915 FLORENCE BLVD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68110-1739
Mailing Address - Country:US
Mailing Address - Phone:531-210-7459
Mailing Address - Fax:
Practice Address - Street 1:3915 FLORENCE BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68110-1739
Practice Address - Country:US
Practice Address - Phone:531-210-7459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE92128163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse