Individual provider · Type 1 NPI

Sandra Henline, PA-C

Medical Physician Assistant · Charleston, WV

NPI number 1992177984 Active

Practice location

3100 Maccorkle Ave SE, Suite 411
Charleston, WV 25304-1223

Call (304) 345-5005 Map

Mailing address

3200 Maccorkle Ave SE, Ste B16
Charleston, WV 25304-1227

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X1883 (WV)

Medical Physician Assistant: Definition to come...

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About NPI 1992177984

Sandra Henline, PA-C's National Provider Identifier is 1992177984, issued on Oct 29, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Charleston, WV. The record was last updated on Mar 30, 2017.