Henriette G Bopda

Individual provider Active NPI Home Health Aide · Elkridge, MD

NPI 1174880132 · NPPES record last updated Apr 16, 2012

Key facts

NPI
1174880132
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
8180 Casey CT
Elkridge, MD 21075-6410
Phone
(202) 722-1725
NPI assigned
Apr 16, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

8180 Casey CT
Elkridge, MD 21075-6410

Mailing address

8180 Casey CT
Elkridge, MD 21075-6410

Other providers in Elkridge, MD

All providers in Elkridge, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.