Individual provider · Type 1 NPI
Shirley J. Hendrickson, NP
Adult Health Nurse Practitioner · New York, NY
NPI number
1508396094
Active
Practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
6210 62nd Rd
Middle Village, NY 11379-1019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 617212 (NY) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | F308285-1 (NY) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1508396094
Shirley J. Hendrickson, NP's National Provider Identifier is 1508396094, issued on Jun 15, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in New York, NY. The record was last updated on Apr 3, 2020.