Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARLEY HENNESSY
Active Sole ProprietorCARLEY HENNESSY is a Surgical Physician Assistant healthcare provider located in WILLISTON, North Dakota. NPI 1407227101 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · WILLISTON, ND
Registration Details
- NPI Number
- 1407227101
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2015 (10.861927109823 yrs)
- Last Updated
- Dec 14, 2021
- Licenses
-
PAC0617 (ND)MED-PAC-LIC-76234 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1700 11TH ST WWILLISTON, ND, 588014500Browse ND providers · Browse ZIP 58801
- Phone
- 7017747687
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in WILLISTON, ND
| Name | Credential | NPI |
|---|---|---|
| LISA M PETERSON | PA-C | 1619156411 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.