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NPI Code Detail

MEDICARE: MS. PATTI JO HENSHEL CRNP

MEDICARE: MS. PATTI JO HENSHEL CRNP
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
1363LA2100XAcute Care Nurse PractitionerRN64073DC

General Provider Information

NPI Number : 1669629002
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATTI JO HENSHEL CRNP
Provider Business Mailing Address
First Line : 4808 MOORLAND LN
Second Line : 208
City : BETHESDA
State : MD
Zip : 20814-6110
Country : US
Telephone Number : 301-652-9208
Fax Number :
Provider Business Practice Location Address
First Line : 8600 OLD GEORGETOWN RD
Second Line :
City : BETHESDA
State : MD
Zip : 20814-1497
Country : US
Telephone Number : 202-427-5116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2008
Last Update Date : 08/02/2023

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