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NPI Code Detail

MEDICARE: ELIZABETH F. HENSLEY PA-C

MEDICARE: ELIZABETH F. 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 Assistant0110001705VA

General Provider Information

NPI Number : 1215969100
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH F. HENSLEY PA-C
Provider Business Mailing Address
First Line : 1000 BOULDERS PKWY
Second Line : SUITE 102
City : NORTH CHESTERFIELD
State : VA
Zip : 23225-5545
Country : US
Telephone Number : 804-320-4243
Fax Number : 804-282-1486
Provider Business Practice Location Address
First Line : 671 HIOAKS RD STE B
Second Line :
City : RICHMOND
State : VA
Zip : 23225-4072
Country : US
Telephone Number : 804-272-5814
Fax Number : 804-560-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 05/13/2025

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