Individual provider · Type 1 NPI

Thomas Mark Hentrich, RNFA

Registered Nurse · Bridgeton, MO

NPI number 1104598754 Active

Practice location

12303 Depaul Dr
Bridgeton, MO 63044

Mailing address

848 Chouteau Ave
Alton, IL 62002-4203

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041406201 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104598754

Thomas Mark Hentrich, RNFA's National Provider Identifier is 1104598754, issued on Oct 1, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Bridgeton, MO. The record was last updated on Oct 1, 2021.