Provider Demographics
NPI:1649265042
Name:HENSLER, JUDIE A (WHNP)
Entity type:Individual
Prefix:MRS
First Name:JUDIE
Middle Name:A
Last Name:HENSLER
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:600 18TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PARKERSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:26101-3231
Mailing Address - Country:US
Mailing Address - Phone:304-424-4124
Mailing Address - Fax:304-424-4123
Practice Address - Street 1:600 18TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:PARKERSBURG
Practice Address - State:WV
Practice Address - Zip Code:26101-3231
Practice Address - Country:US
Practice Address - Phone:304-424-4124
Practice Address - Fax:304-424-4123
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2011-10-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WV31218363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2242880Medicaid
WV7102407000Medicaid
WV7102407000Medicaid
WVNP06732Medicare PIN