Individual
ELIZA JOAN HENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
47 CONGRESS STREET, SALEM FAMILY HEALTH CENTER, SALEM, MA 01970
(978) 744-8388
(978) 740-2339
Mailing address
27 CONGRESS ST STE 513, SALEM, MA 01970-5523
(978) 744-8388
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71008213A
IN
363LF0000X
Family Nurse Practitioner
Primary
RN2306004
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300019434
—
IN
Enumeration date
08/09/2018
Last updated
02/12/2021
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