Individual
MR. MICHAEL RICHARD HENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-C
Contact information
Practice address
11901 REEDY BRANCH RD, CHESTERFIELD, VA 23838-4235
(804) 896-1499
(804) 590-1872
Mailing address
11901 REEDY BRANCH RD, CHESTERFIELD, VA 23838-4235
(804) 896-1499
(804) 590-1872
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
0024167468
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014219829
—
VA
Enumeration date
08/24/2007
Last updated
03/08/2016
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