ELLEN MICHELLE HENDRICKS

MASON CITY, IL
NPI1538708086
Former NameELLEN M. CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209020506)
Enumeration Date2020-01-02
Last Update Date2025-01-21
Business Address
ELLEN MICHELLE HENDRICKS APN
915 W CHESTNUT ST
MASON CITY, IL 62664-9708
Phone number: 309-638-2427
Mailing Address
ELLEN MICHELLE HENDRICKS APN
915 W CHESTNUT ST
MASON CITY, IL 62664-9708
Phone number: 309-638-2427