Individual provider · Type 1 NPI
Mary Hendrix
Pediatric Nurse Practitioner · Kokomo, IN
NPI number
1043688211
Active
Practice location
3118 S Lafountain St # At
Kokomo, IN 46902-3710
Mailing address
8003 Castleway Dr
Indianapolis, IN 46250-1946
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 28171905A (IN) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1043688211
Mary Hendrix's National Provider Identifier is 1043688211, issued on Sep 4, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Kokomo, IN. The record was last updated on Jan 24, 2018.