John Henkel

Individual provider Active NPI Home Health Registered Nurse · Wilton, ME

NPI 1689137267 · NPPES record last updated Apr 10, 2019

Key facts

NPI
1689137267
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
R029993 (ME)
Practice address
13 Fuller St
Wilton, ME 04294-4424
Phone
(207) 778-1835
NPI assigned
Apr 10, 2019
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R029993MEMDHome Health Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X R029993 ME Yes

Addresses

Primary practice location

13 Fuller St
Wilton, ME 04294-4424

Mailing address

13 Fuller St
Wilton, ME 04294-4424
Phone (207) 778-1835

Other providers in Wilton, ME

All providers in Wilton, ME · Home Health Registered Nurse in Maine

Sources for this page

Verify at the official NPI Registry.