Genevieve Saderholm, R.N.

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

R064201 Issued in MD

Practice address

3 Harry S Truman Pkwy
Annapolis, MD 21401-7031

Phone

(410) 222-7213

Fax

(410) 222-7348

NPI assigned

Apr 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912020124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 PATUXENT OVERLOOK RD",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "210541943",
            "telephone_number": "410-451-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HARRY S TRUMAN PKWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017031",
            "telephone_number": "410-222-7213",
            "fax_number": "410-222-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADERHOLM",
        "first_name": "GENEVIEVE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MD",
            "license": "R064201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Annapolis, MD by specialty
• Administrator Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.