REBECCA HENDRICKSON

FORT WAYNE, IN
NPI1619717717
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71015403A)
Additional Taxonomies163WC0200X Registered Nurse, Critical Care Medicine
(Licence: IN  28248085A)
Enumeration Date2024-05-28
Last Update Date2025-01-13
Business Address
REBECCA HENDRICKSON
1818 CAREW ST STE 300
FORT WAYNE, IN 46805-4764
Phone number: 260-425-6650
Mailing Address
REBECCA HENDRICKSON
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number: