Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eden Christian Henry

Individual provider Pediatrics Physician · NPI 1114509650

Eden Christian Henry is a Pediatric Medicine in Gallup, New Mexico. Qualified in 2021, 5 years ago. Licensed in Colorado, Florida, Texas and Vermont and 1 more.

Years since qualifying
5
Licensed in
CO, FL, TX, VT, WY
In the registry since
2021
Specialties on file
5
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Practice location Address checks out

516 E Nizhoni Blvd
Gallup, NM 87301-5748
Phone: (505) 722-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 175086 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 0420017989 (VT)
Pediatrics Physician Taxonomy 208000000X · Licence CDR.0005149 (CO)
Pediatrics Physician Taxonomy 208000000X · Licence TL8632 (WY)
Pediatrics Physician Taxonomy 208000000X · Licence V6597 (TX)

Record details

NPI number1114509650
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2021
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Gallup