MEDICARE: KRISTA L HENSHAW MSN,RN, FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	LG-0000622	DE
2	363LF0000X	Family Nurse Practitioner	L10025556	DE

General Provider Information

NPI Number	:	1568723419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTA L HENSHAW MSN,RN, FNP

Provider Business Mailing Address
First Line	:	1515 SAVANNAH RD FL 2
Second Line	:
City	:	LEWES
State	:	DE
Zip	:	19958-1675
Country	:	US
Telephone Number	:	302-645-3499
Fax Number	:	302-644-4830

Provider Business Practice Location Address
First Line	:	232 MITCHELL ST
Second Line	:
City	:	MILLSBORO
State	:	DE
Zip	:	19966-9412
Country	:	US
Telephone Number	:	302-934-5830
Fax Number	:	302-934-5835

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2012
Last Update Date	:	01/19/2026

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