Henson, Amy L

Henson, Amy L is an individual health care provider with primary practice located at 1 Genesys Pkwy , Grand Blanc MI 48439-8065. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Henson, Amy L can be contacted via phone (810) 606-6137.

Contact Information

Primary practice address
1 Genesys Pkwy Grand Blanc MI 48439-8065
Phone: (810) 606-6137
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704222049 Michigan

Profile Details

NPI number 1205879731
LBN Legal business name Henson, Amy L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Mar 6th, 2008 - about 16 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 1205879731 NPPES
Michigan MEDICAID 4869169
Michigan Other P00334267
Michigan MEDICAID 4872440
Michigan MEDICAID 4872431
Michigan Other AH222049

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