Ruby Carol Henderson , LPN
Licensed Practical Nurse • Tuba City, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ruby Henderson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Ruby Henderson, LPN was a registered Licensed Practical Nurse practicing in Tuba City, AZ. Throughout an active medical career spanning 9 years, Ruby Henderson provided care at the practice location at 167 NORTH MAIN ST. until profile deactivation on 2019-06-17.
Practice Location & Contact Primary Location
167 North Main St.
Tuba City, AZ 86045
Specialty Benchmarks & Practice Insights
Comparative analytics for Licensed Practical Nurse in Tuba City, AZ
Practicing in Tuba City, AZ (1065 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 164W00000X
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Registered Nurse - Ambulatory Care
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Registered Nurse
Nurse's Aide
Certified Nursing Assistant
Nurse's Aide
Certified Nursing Assistant
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 17, 2019
NPI status registered as active in NPPES database
Registered at 167 NORTH MAIN ST., TUBA CITY, AZ 86045 (Tel: 9282832501)
Registered at PO BOX 600, TUBA CITY, AZ 860450600 (Tel: 9282833501)
Recorded as RUBY HENDERSON, LPN
Licensed Practical Nurse (License #LP030925 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 600
Tuba City, AZ 860450600
Phone: 9282833501
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