Healthcare Provider Details

I. General information

NPI: 1972767580
Provider Name (Legal Business Name): ANNE HENDERSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNE KLEMENS MD

II. Dates (important events)

Enumeration Date: 07/12/2008
Last Update Date: 06/20/2025
Certification Date: 06/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

350 W THOMAS RD
PHOENIX AZ
85013-4496
US

IV. Provider business mailing address

350 W THOMAS RD
PHOENIX AZ
85013-4496
US

V. Phone/Fax

Practice location:
  • Phone: 602-406-3000
  • Fax:
Mailing address:
  • Phone: 602-406-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086H0002X
TaxonomyHospice and Palliative Medicine (Surgery) Physician
License Number60759
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number50759
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: