CARLEY HENNESSY

Physician Assistant - Surgical

Active Individual
NPI: 1407227101

Practice Address

1700 11TH ST W
Williston, ND 58801

Phone: (701) 774-7687

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No PAC0617 (ND)
Physician Assistant - Surgical 363AS0400X Yes MED-PAC-LIC-76234 (MT)

Frequently Asked Questions

NPI 1407227101 is the National Provider Identifier for CARLEY HENNESSY, a Physician Assistant - Surgical provider located in Williston, ND. This NPI was enumerated on October 7, 2015.
CARLEY HENNESSY practices at 1700 11TH ST W, Williston, ND 58801.

Quick Facts

NPI
1407227101
Type
Individual
Enumerated
Oct 7, 2015
Last Updated
Dec 14, 2021

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