Healthcare Provider Details

I. General information

NPI: 1598478430
Provider Name (Legal Business Name): VALERIE L HENSHAW MSN, APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE L SMITH RN

II. Dates (important events)

Enumeration Date: 01/05/2023
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

255 HOSPITAL DR FL 3
GLEN BURNIE MD
21061-5801
US

IV. Provider business mailing address

255 HOSPITAL DR FL 3
GLEN BURNIE MD
21061-5801
US

V. Phone/Fax

Practice location:
  • Phone: 410-553-8240
  • Fax: 410-553-8239
Mailing address:
  • Phone: 410-533-8240
  • Fax: 410-553-8239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR159605
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: