Individual provider · Type 1 NPI
Tracy Elizabeth Adams Henricks, CRNP
Neonatal Nurse Practitioner · Glen Burnie, MD
NPI number
1992865406
Active
Practice location
301 Hospital Dr, Nicu-Peds
Glen Burnie, MD 21061-5803
Mailing address
PO Box 62026
Baltimore, MD 21264-2026
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | R117981 (MD) |
| Neonatal Nurse Practitioner Primary | 363LN0000X | R117981 (MD) |
| Perinatal Nurse Practitioner | 363LP1700X | R117981 (MD) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1992865406
Tracy Elizabeth Adams Henricks, CRNP's National Provider Identifier is 1992865406, issued on Dec 12, 2006. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Glen Burnie, MD. The record was last updated on Jan 6, 2017.