MEDICARE: IYANA HENDERSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	0017981	WI

General Provider Information

NPI Number	:	1962153882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IYANA HENDERSON

Provider Business Mailing Address
First Line	:	2205 W BURNHAM ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-3030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 W BURNHAM ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-3030
Country	:	US
Telephone Number	:	414-426-7668
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2022
Last Update Date	:	01/12/2022

Similar Medicare Providers

1326101635 — DR. PATRICIA MCCAULEY
Practice Location Address:

3030 S CHASE AVE
MILWAUKEE, WI
53207-2610

Practice Phone: 414-481-7400
Practice Fax:

1902963432 — DR. HANA ALBERTI
Practice Location Address:

3030 S CHASE AVE
MILWAUKEE, WI
53207-2610

Practice Phone: 414-481-7400
Practice Fax: 414-481-0173

1124176052 — DR. BENJAMIN VANHORN
Practice Location Address:

3030 S CHASE AVE
MILWAUKEE, WI
53207-2610

Practice Phone: 414-481-7400
Practice Fax: 414-481-0173

1619007044 — WISCONSIN DENTAL GROUP, S.C.
Practice Location Address:

3030 S CHASE AVE
MILWAUKEE, WI
53207-2610

Practice Phone: 414-481-7400
Practice Fax:

1952675589 — MS. ANNICE VIOLA MILLSAPP LPN
Practice Location Address:

3030 W MICHIGAN ST
MILWAUKEE, WI
53208-4606

Practice Phone: 414-616-1922
Practice Fax:

1376892281 — IYANURA IVORY-LINDSEY RN
Practice Location Address:

3030 N 26TH ST
MILWAUKEE, WI
53206-1123

Practice Phone: 414-732-1269
Practice Fax: 414-875-7317

Directions to “ IYANA HENDERSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.