Heninger, Andrea Lee

Heninger, Andrea Lee is an individual health care provider with primary practice located at 729 Bedford Euless Rd W , Hurst TX 76053-3939. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Heninger, Andrea Lee can be contacted via phone (817) 282-1001.

Contact Information

Primary practice address
729 Bedford Euless Rd W Hurst TX 76053-3939
Phone: (817) 282-1001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 150915 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 036954 Texas

Profile Details

NPI number 1285622126
LBN Legal business name Heninger, Andrea Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Aug 16th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285622126 NPPES
Texas MEDICAID 207153201
Texas MEDICAID 2231892
Texas Other 8608UU

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