Individual
ROXANE LEE HENKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1240 BURKE RD, MIDDLE RIVER, MD 21220-4415
(443) 807-8608
(410) 335-7472
Mailing address
1240 BURKE RD, MIDDLE RIVER, MD 21220-4415
(443) 807-8608
(410) 335-7472
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R069548
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1072
BLUE CHOICE
MD
01
—
39ZZRL
CAREFIRST
MD
01
—
P00403937
RAILROAD MEDICARE
MD
Enumeration date
11/13/2006
Last updated
10/16/2007
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