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NPI Code Detail

MEDICARE: TASHIA HENDERSON BSN, RN

MEDICARE: TASHIA HENDERSON BSN, RN
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
1163WC0200XCritical Care Medicine Registered NurseR252616MD
2163WP0808XPsychiatric/Mental Health Registered NurseR252616MD

General Provider Information

NPI Number : 1447026471
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHIA HENDERSON BSN, RN
Provider Business Mailing Address
First Line : 3266 KAISER DR
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-4555
Country : US
Telephone Number : 443-695-2491
Fax Number :
Provider Business Practice Location Address
First Line : 1900 E NORTHERN PKWY STE T6
Second Line :
City : BALTIMORE
State : MD
Zip : 21239-2120
Country : US
Telephone Number : 443-438-6893
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2023
Last Update Date : 11/30/2023

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Directions to “ TASHIA HENDERSON BSN, RN” Practice Location

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