Provider Demographics
NPI:1225038763
Name:HENSLEY, MARGARET A (RNCS, FNP)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:A
Last Name:HENSLEY
Suffix:
Gender:F
Credentials:RNCS, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:SANTA ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:76878-2039
Mailing Address - Country:US
Mailing Address - Phone:325-348-3566
Mailing Address - Fax:325-348-3791
Practice Address - Street 1:105 N 2ND ST
Practice Address - Street 2:
Practice Address - City:SANTA ANNA
Practice Address - State:TX
Practice Address - Zip Code:76878-2039
Practice Address - Country:US
Practice Address - Phone:325-348-3566
Practice Address - Fax:325-348-3791
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-27
Last Update Date:2013-11-13
Deactivation Date:2006-03-21
Deactivation Code:
Reactivation Date:2006-04-03
Provider Licenses
StateLicense IDTaxonomies
TX550193363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNNP7012OtherBC/BS
TX092061301Medicaid
TX092061301Medicaid
TNNP7012OtherBC/BS