NPI | 1053614693 |
---|---|
Former Name | ABBEY D HENDRIXSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71003517A) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: IN 71003517A) |
163W00000X Registered Nurse (Licence: IN 28167231A) | |
Enumeration Date | 2010-12-20 |
Last Update Date | 2024-11-06 |