Provider Demographics
NPI:1558532069
Name:HENSLER, RACHEL H (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:H
Last Name:HENSLER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 DOCTORS CIR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28401-7404
Mailing Address - Country:US
Mailing Address - Phone:910-254-9914
Mailing Address - Fax:910-254-9953
Practice Address - Street 1:1514 DOCTORS CIR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28401-7404
Practice Address - Country:US
Practice Address - Phone:910-254-9914
Practice Address - Fax:910-254-9953
Is Sole Proprietor?:No
Enumeration Date:2008-03-12
Last Update Date:2016-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-00107363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ54225Medicare UPIN