Individual
TASHIA HENDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
1900 E NORTHERN PKWY STE T6, BALTIMORE, MD 21239-2120
(443) 438-6893
Mailing address
3266 KAISER DR, ELLICOTT CITY, MD 21043-4555
(443) 695-2491
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R252616
MD
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R252616
MD
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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