Individual
JULIA HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 ROANE ST, CHARLESTON, WV 25302-2334
(304) 344-0096
Mailing address
1421 ALEXANDRIA PL, CHARLESTON, WV 25314-2502
(304) 389-4126
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
116460
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2022
Last updated
06/22/2023
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