Provider Demographics
NPI:1952649972
Name:HENSEL, DESIREE (CNS)
Entity Type:Individual
Prefix:DR
First Name:DESIREE
Middle Name:
Last Name:HENSEL
Suffix:
Gender:F
Credentials:CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 W JEFFERSON ST
Mailing Address - Street 2:SUITE T
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-2147
Mailing Address - Country:US
Mailing Address - Phone:317-736-5515
Mailing Address - Fax:
Practice Address - Street 1:1101 W JEFFERSON ST
Practice Address - Street 2:SUITE T
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2147
Practice Address - Country:US
Practice Address - Phone:317-736-5515
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-25
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71004299A364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics