Henley, Eliza Joan
Henley, Eliza Joan is an individual health care provider with primary practice located at 47 Congress Street Salem Family Health Center, Salem MA 01970. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Henley, Eliza Joan can be contacted via phone (978) 744-8388.Contact Information
Primary practice address
47 Congress Street Salem Family Health Center
Salem MA 01970
Phone: (978) 744-8388
Fax: (978) 740-2339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71008213A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN2306004 | Massachusetts |
Profile Details
| NPI number | 1790264828 |
|---|---|
| LBN Legal business name | Henley, Eliza Joan |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2018 |
| Last updated | Feb 12th, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790264828 | NPPES |
| Indiana | MEDICAID | 300019434 |
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