Provider Demographics
NPI:1952042236
Name:DICKENS, RASHEDA SHERON (CNA, CMA, CDP)
Entity Type:Individual
Prefix:
First Name:RASHEDA
Middle Name:SHERON
Last Name:DICKENS
Suffix:
Gender:F
Credentials:CNA, CMA, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8552 HYDRA LN
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-3006
Mailing Address - Country:US
Mailing Address - Phone:667-688-1258
Mailing Address - Fax:
Practice Address - Street 1:8552 HYDRA LN
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-3006
Practice Address - Country:US
Practice Address - Phone:667-688-1258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-02
Last Update Date:2022-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAOOO96218251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care