Active NPIIndividual provider

Mrs. Kiewanda Shabazz-Henry, RN

Registered Nurse, General Practice in Harrison, New Jersey

NPI Number1649840984
Practice location
432 Bergen St, Harrison, NJ 07029-2291
Fax
—
Last updated
June 29, 2021

Kiewanda Shabazz-Henry is a Registered Nurse, General Practice based in Harrison, NJ. Kiewanda Shabazz-Henry practices in Harrison, NJ and has the professional credentials of RN. The NPI Number for Kiewanda Shabazz-Henry is 1649840984 and holds a License No. 26NO11517600 (NY). The current practice location address for Kiewanda Shabazz-Henry is 432 Bergen St, Harrison, NJ 07029-2291 and can be reached out via phone at 973-493-5336.

Provider Profile Details

NPI Number
1649840984
Provider Name
Kiewanda Shabazz-Henry
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
432 Bergen St, Harrison, NJ 07029-2291
Phone Number
973-493-5336
Primary Taxonomy
Registered Nurse, General Practice · 163WG0000X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2021
Last Update Date
June 29, 2021
Certification Date
June 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
432 Bergen St
Harrison, NJ 07029-2291
Zip
07029-2291
Phone Number
973-493-5336
Harrison, NJ 07029Get directions →

Provider Business Mailing Address Details

Address
432 Bergen St
Harrison, NJ 07029-2291
City
Harrison
State
NJ
Zip
07029-2291
Phone Number
973-483-5336

License Information

License Number
26NO11517600
License State
NY
Taxonomy
Registered Nurse, General Practice · 163WG0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kiewanda Shabazz-Henry, RN?

The NPI number of Mrs. Kiewanda Shabazz-Henry, RN is 1649840984. It was assigned on June 29, 2021 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kiewanda Shabazz-Henry, RN?

Mrs. Kiewanda Shabazz-Henry, RN is registered under the primary taxonomy Registered Nurse, General Practice (code 163WG0000X), licensed in NY under license number 26NO11517600.

Where does Mrs. Kiewanda Shabazz-Henry, RN practice?

The practice location is 432 Bergen St, Harrison, NJ 07029-2291. The office can be reached at 973-493-5336 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649840984 directly on the NPPES registry website.

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