Active NPIIndividual provider

Eliza J Henley, NP

Nurse Practitioner, Family in Salem, Massachusetts

NPI Number1790264828
Practice location
47 Congress Street, Salem Family Health Center, Salem, MA 01970
Fax
978-740-2339
Last updated
February 12, 2021

Eliza Joan Henley is a Nurse Practitioner, Family based in Salem, MA. Eliza Joan Henley practices in Salem, MA and has the professional credentials of NP. The NPI Number for Eliza Joan Henley is 1790264828 and holds a License No. 71008213A (IN). The current practice location address for Eliza Joan Henley is 47 Congress Street, Salem Family Health Center, Salem, MA 01970 and can be reached out via phone at 978-744-8388 and via fax at 978-740-2339.

Provider Profile Details

NPI Number
1790264828
Provider Name
Eliza Joan Henley
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
47 Congress Street, Salem Family Health Center, Salem, MA 01970
Phone Number
978-744-8388
Fax Number
978-740-2339
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2018
Last Update Date
February 12, 2021
Certification Date
January 27, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
47 Congress Street
Salem Family Health Center
Salem, MA 01970
City
Salem
Zip
01970
Phone Number
978-744-8388
Fax Number
978-740-2339
Salem, MA 01970Get directions →

Provider Business Mailing Address Details

Address
27 Congress St Ste 513
Salem, MA 01970-5523
City
Salem
State
MA
Zip
01970-5523
Phone Number
978-744-8388

License Information

License Number (1)
71008213A
License State (1)
IN
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X
License Number (2)
RN2306004
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eliza J Henley, NP?

The NPI number of Eliza J Henley, NP is 1790264828. It was assigned on August 9, 2018 and is currently active in the NPPES registry.

What is the specialty of Eliza J Henley, NP?

Eliza J Henley, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in IN under license number 71008213A.

Where does Eliza J Henley, NP practice?

The practice location is 47 Congress Street, Salem Family Health Center, Salem, MA 01970. The office can be reached at 978-744-8388 (phone) or 978-740-2339 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1790264828 directly on the NPPES registry website.

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