MEDICARE: DENISHA CUFFEE DNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	0024178275	VA
2	363L00000X	Nurse Practitioner	NP1059971	DC
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R221169	MD

General Provider Information

NPI Number	:	1932754264
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENISHA CUFFEE DNP

Provider Business Mailing Address
First Line	:	5457 TWIN KNOLLS RD STE 300
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21045-3296
Country	:	US
Telephone Number	:	240-744-0540
Fax Number	:	269-210-2598

Provider Business Practice Location Address
First Line	:	10101 TWIN RIVERS RD APT 401
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21044-6539
Country	:	US
Telephone Number	:	443-328-4810
Fax Number	:	269-210-2598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/04/2019
Last Update Date	:	03/09/2026

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