Individual provider · Type 1 NPI
Mallory Hensel, MSN, CRNP, AGPCNP-BC
Adult Health Nurse Practitioner · Philadelphia, PA
NPI number
1922504299
Active
Practice location
536 Rodman St Apt A
Philadelphia, PA 19147-1433
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN653855 (PA) |
| Gerontology Nurse Practitioner | 363LG0600X | SP018580 (PA) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | SP018580 (PA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1922504299
Mallory Hensel, MSN, CRNP, AGPCNP-BC's National Provider Identifier is 1922504299, issued on Apr 4, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Philadelphia, PA. The record was last updated on Apr 4, 2018.