Provider Demographics
NPI:1952858102
Name:ATINI, HENRITA
Entity Type:Individual
Prefix:
First Name:HENRITA
Middle Name:
Last Name:ATINI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 48TH AVE
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20740-2137
Mailing Address - Country:US
Mailing Address - Phone:240-603-4233
Mailing Address - Fax:
Practice Address - Street 1:8701 48TH AVE
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-2137
Practice Address - Country:US
Practice Address - Phone:240-603-4233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-06
Last Update Date:2016-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide