Provider Demographics
NPI:1124748108
Name:HENCH, ANDREW A (CRNP)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:A
Last Name:HENCH
Suffix:
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1819 S MARKET ST BLDG A
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-5609
Mailing Address - Country:US
Mailing Address - Phone:717-620-2020
Mailing Address - Fax:717-691-9689
Practice Address - Street 1:1819 S MARKET ST BLDG A
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-5609
Practice Address - Country:US
Practice Address - Phone:717-620-2020
Practice Address - Fax:717-691-9689
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP02614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily