Individual provider · Type 1 NPI

Stormie Hendrickson

Student in an Organized Health Care Education/Training Program · Augusta, ME

NPI number 1104163336 Active

Practice location

841 Riverside Dr
Augusta, ME 04330-8302

Call (207) 213-4616 Map

Fax (207) 213-4727

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104163336

Stormie Hendrickson's National Provider Identifier is 1104163336, issued on Jan 8, 2013. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Augusta, ME. The record was last updated on Jan 8, 2013.