Healthcare Provider Details

I. General information

NPI: 1902326937
Provider Name (Legal Business Name): FIONA HENDERSON-POWER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FIONA POWER NP

II. Dates (important events)

Enumeration Date: 06/21/2017
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40975 N IRONWOOD DR
SAN TAN VALLEY AZ
85140-8906
US

IV. Provider business mailing address

40930 N IRONWOOD DR STE 105-202
QUEEN CREEK AZ
85140-8829
US

V. Phone/Fax

Practice location:
  • Phone: 602-834-0781
  • Fax: 602-805-3459
Mailing address:
  • Phone: 602-834-0781
  • Fax: 602-805-3459

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP10270
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: