Provider Demographics
NPI:1265987101
Name:HENDEE, VAN ANH HUY (PA)
Entity type:Individual
Prefix:MRS
First Name:VAN ANH
Middle Name:HUY
Last Name:HENDEE
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:HUY
Other - Last Name:HENDEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA
Mailing Address - Street 1:PO BOX 12248
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-2248
Mailing Address - Country:US
Mailing Address - Phone:252-514-6685
Mailing Address - Fax:252-514-2745
Practice Address - Street 1:3100 WELLONS BLVD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5247
Practice Address - Country:US
Practice Address - Phone:252-634-9000
Practice Address - Fax:252-634-9001
Is Sole Proprietor?:No
Enumeration Date:2016-08-21
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALTA.1828363A00000X
ALPA.1184363A00000X
FLPA9111292363A00000X
NC0010-10012363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant