Individual
MARTHA MAE HENSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1990 HOLTON AVE. EAST, BIG STONE GAP, VA 24219
(276) 523-3111
Mailing address
RR 2 BOX 435, PENNINGTON GAP, VA 24277-9645
(276) 546-1027
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0001106926
VA
Other
Enumeration date
04/04/2008
Last updated
08/20/2008
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