Organization
ROXANE HENKE CRNA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANE LEE HENKE CRN A (OWNER)
(410) 335-7472
Entity
Organization
Contact information
Practice address
1240 BURKE RD, MIDDLE RIVER, MD 21220-4415
(410) 335-7472
(410) 335-7472
Mailing address
1240 BURKE RD, MIDDLE RIVER, MD 21220-4415
(410) 335-7472
(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
05
—
29341
—
MD
01
—
39ZZRL
CAREFIRST
MD
01
—
DF9428
RAILROAD MEDICARE
MD
Enumeration date
06/13/2007
Last updated
03/31/2014
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