Individual
CRYSTAL D HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
109 KERR AVE, POTEAU, OK 74953-5270
(918) 649-1100
(918) 649-1103
Mailing address
PO BOX 1577, DURANT, OK 74702-1577
(580) 916-9140
(580) 916-9142
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
83974
OK
Other
Enumeration date
12/06/2018
Last updated
12/06/2018
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