Hensley, Nicole L

Hensley, Nicole L is an individual health care provider with primary practice located at 11110 Medical Campus Rd Suite 249, Hagerstown MD 21742-6700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Hensley, Nicole L can be contacted via phone (301) 714-4100.

Contact Information

Primary practice address
11110 Medical Campus Rd Suite 249 Hagerstown MD 21742-6700
Fax: (301) 714-4101
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R135964 Maryland

Profile Details

NPI number 1992757462
LBN Legal business name Hensley, Nicole L
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Sep 7th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992757462 NPPES
Maryland MEDICAID 623003200

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