Individual
HENRIETTE KAREKEZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2014 S TOLLGATE RD STE 208, BEL AIR, MD 21015-5904
(410) 670-3076
Mailing address
2014 S TOLLGATE RD STE 208, BEL AIR, MD 21015-5904
(410) 670-3076
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R163941
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1926743501
—
MD
Enumeration date
02/22/2021
Last updated
02/22/2021
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