Individual provider · Type 1 NPI
Tanisha P. Henry, MSN, APRN, FNP-C
Primary Care Nurse Practitioner · North Baldwin, NY
NPI number
1629610167
Active
Practice location
1312 Grand Ave
North Baldwin, NY 11510-1418
Mailing address
PO Box 1276
Baldwin, NY 11510-0876
Other practice locations
- 78 Paulus Blvd, New Brunswick, NJ 08901-1522 · (516) 417-6797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 26RN18111600 (NJ) |
| Registered Nurse | 163W00000X | 574808-1 (NY) |
| Nurse Practitioner | 363L00000X | 26NJ00927600 (NJ) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 26NJ00927600 (NJ) |
Primary Care Nurse Practitioner: Definition to come...
About NPI 1629610167
Tanisha P. Henry, MSN, APRN, FNP-C's National Provider Identifier is 1629610167, issued on Oct 16, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in North Baldwin, NY. The record was last updated on Oct 16, 2019.