Individual provider · Type 1 NPI

Ann Henderson, CRNP

Nurse Practitioner · Columbia, MD

NPI number 1720054620 Active

Practice location

11065 Little Patuxent Pkwy
Columbia, MD 21044-2998

Call (410) 328-3037 Map

Fax (410) 328-3040

Mailing address

PO Box 64620
Baltimore, MD 21264-4620

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XR128848 (MD)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720054620

Ann Henderson, CRNP's National Provider Identifier is 1720054620, issued on Feb 28, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Columbia, MD. The record was last updated on Oct 23, 2007.