Provider Demographics
NPI:1598478430
Name:HENSHAW, VALERIE L (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:L
Last Name:HENSHAW
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:L
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:600 RIDGELY AVE STE 231
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-1092
Mailing Address - Country:US
Mailing Address - Phone:410-266-8116
Mailing Address - Fax:
Practice Address - Street 1:600 RIDGELY AVE STE 231
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-1092
Practice Address - Country:US
Practice Address - Phone:410-266-8116
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR159605363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily