Individual
COURTNEY HENSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
707 CEDAR ST STE 100, SOUTH BEND, IN 46617-2056
(574) 335-4686
Mailing address
707 CEDAR ST STE 100, SOUTH BEND, IN 46617-2056
(574) 335-4686
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
28219965A
IN
163WC1500X
Community Health Registered Nurse
4704336632
MI
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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