Provider Demographics
NPI:1407066004
Name:HENSLER, HEATHER KAY (RN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:KAY
Last Name:HENSLER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 614
Mailing Address - Street 2:
Mailing Address - City:HATTERAS
Mailing Address - State:NC
Mailing Address - Zip Code:27943-0614
Mailing Address - Country:US
Mailing Address - Phone:252-475-8160
Mailing Address - Fax:
Practice Address - Street 1:305 BACK RD
Practice Address - Street 2:
Practice Address - City:OCRACOKE
Practice Address - State:NC
Practice Address - Zip Code:27960-0543
Practice Address - Country:US
Practice Address - Phone:252-928-1511
Practice Address - Fax:252-928-7391
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC205423163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse