Individual
DR. MEARA E HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
156362-30
WI
363LP0200X
Pediatric Nurse Practitioner
3538-33
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
95002545
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538319645
—
WI
01
—
156362-30
RN LICENSE
WI
Enumeration date
09/25/2008
Last updated
08/27/2019
Update your record
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