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NPI Code Detail

MEDICARE: NATHANIEL JAMES HENSLEY PA-C

MEDICARE: NATHANIEL JAMES HENSLEY PA-C
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
1363A00000XPhysician Assistant10459AZ
2363A00000XPhysician Assistant

General Provider Information

NPI Number : 1164266656
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHANIEL JAMES HENSLEY PA-C
Provider Business Mailing Address
First Line : 10401 W THUNDERBIRD BLVD
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-3004
Country : US
Telephone Number : 585-360-7252
Fax Number :
Provider Business Practice Location Address
First Line : 10401 W THUNDERBIRD BLVD
Second Line :
City : SUN CITY
State : AZ
Zip : 85351-3004
Country : US
Telephone Number : 623-832-9155
Fax Number : 623-832-9004
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2024
Last Update Date : 03/13/2026

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Directions to “ NATHANIEL JAMES HENSLEY PA-C” Practice Location

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