Henley, Mary Fisher

Henley, Mary Fisher is an individual health care provider with primary practice located at 1811 E Innes St , Salisbury NC 28146-6030. 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, Mary Fisher can be contacted via phone (704) 216-8834.

Contact Information

Primary practice address
1811 E Innes St Salisbury NC 28146-6030
Phone: (704) 216-8834
Fax: (704) 638-3129
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5002409 North Carolina

Profile Details

NPI number 1629116108
LBN Legal business name Henley, Mary Fisher
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Nov 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 1629116108 NPPES
North Carolina MEDICAID 7005023
North Carolina Other 2593214

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