Individual provider · Type 1 NPI
Theodore Hendrickson
Psychiatric/Mental Health Nurse Practitioner · Fairfield, CT
NPI number
1699336073
Active
Practice location
43 Robert Ln
Fairfield, CT 06824-2918
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 102729 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1699336073
Theodore Hendrickson's National Provider Identifier is 1699336073, issued on Jun 26, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fairfield, CT. The record was last updated on Jun 26, 2019.