Provider Demographics
NPI:1568723419
Name:HENSHAW, KRISTA L (MSN,RN, FNP)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:L
Last Name:HENSHAW
Suffix:
Gender:F
Credentials:MSN,RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-9412
Mailing Address - Country:US
Mailing Address - Phone:302-934-5830
Mailing Address - Fax:302-934-5835
Practice Address - Street 1:232 MITCHELL ST
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-9412
Practice Address - Country:US
Practice Address - Phone:302-934-5830
Practice Address - Fax:302-934-5835
Is Sole Proprietor?:No
Enumeration Date:2012-06-06
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10025556363LF0000X
DELG-0000622363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily