Individual
MRS. MARY FISHER HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1811 E INNES ST, SALISBURY, NC 28146-6030
(704) 216-8834
(704) 638-3129
Mailing address
1811 E INNES ST, SALISBURY, NC 28146-6030
(704) 216-8834
(704) 638-3129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5002409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2593214
MEDICARE PTAN INDIVIDUAL
NC
05
—
7005023
—
NC
Enumeration date
02/05/2007
Last updated
11/16/2011
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