Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY EDWARD HENLEY, PA
Active Sole ProprietorTIMOTHY EDWARD HENLEY, PA is a Physician Assistant healthcare provider located in SANDIA PARK, New Mexico. NPI 1477289494 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SANDIA PARK, NM
Registration Details
- NPI Number
- 1477289494
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 1, 2022 (4.0398680484884 yrs)
- Last Updated
- Mar 18, 2025
- License
-
PA2023-0309 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
35 ROBERTS RDSANDIA PARK, NM, 870479352Browse NM providers · Browse ZIP 87047
- Phone
- 5059770144
- Primary Specialty
-
Physician Assistant
363A00000X
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.