| NPI | 1215164066 | 
|---|---|
| Former Name | CONNIE J HENDRIX | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: CO 77980)  | 
| Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: CO 77980)  | 
| 363LN0000X Nurse Practitioner, Neonatal (Licence: KS 53-44709-091)  | |
| 363LN0005X Nurse Practitioner, Neonatal, Critical Care (Licence: KS 53-44709-091)  | |
| Enumeration Date | 2009-06-19 | 
| Last Update Date | 2014-11-15 |