Individual
MRS. TRACY ELIZABETH ADAMS HENRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
301 HOSPITAL DR, NICU-PEDS, GLEN BURNIE, MD 21061-5803
(410) 787-4000
Mailing address
PO BOX 62026, BALTIMORE, MD 21264-2026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R117981
MD
363LN0000X
Neonatal Nurse Practitioner
Primary
R117981
MD
363LP1700X
Perinatal Nurse Practitioner
R117981
MD
Other
Enumeration date
12/12/2006
Last updated
01/06/2017
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