Individual
DANIEL HENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
6800 STATE ROUTE 162, MARYVILLE, IL 62062-8500
(618) 391-6519
Mailing address
121 PLEASANT RIDGE DR, EDWARDSVILLE, IL 62025-3328
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
041483406
IL
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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