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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TANISHA P. HENRY, MSN, APRN, FNP-C

Active Sole Proprietor

TANISHA P. HENRY, MSN, APRN, FNP-C is a Primary Care Nurse Practitioner healthcare provider located in NORTH BALDWIN, New York. NPI 1629610167 is currently active in the NPPES registry. Verify at CMS.

Primary Care Nurse Practitioner · NORTH BALDWIN, NY

Registration Details

NPI Number
1629610167
Provider Type
Individual
Gender
Female
NPI Issued
Oct 16, 2019 (6.8074883712928 yrs)
Last Updated
Oct 16, 2019
Licenses
26RN18111600 (NJ)
574808-1 (NY)
26NJ00927600 (NJ)
26NJ00927600 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1312 GRAND AVE
NORTH BALDWIN, NY, 115101418
Browse NY providers · Browse ZIP 11510
Phone
5164176797
Primary Specialty
Primary Care Nurse Practitioner
363LP2300X
Additional Specialty
Registered Nurse
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.