Individual provider · Type 1 NPI

Glenmore Hendricks, NP

Nurse Practitioner · Riverside, CA

NPI number 1720293277 Active

Practice location

7117 Brockton Ave
Riverside, CA 92506-2658

Mailing address

12742 Limonite Ave
Eastvale, CA 92880-9630

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP 14239 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1720293277

Glenmore Hendricks, NP's National Provider Identifier is 1720293277, issued on May 10, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Riverside, CA. The record was last updated on Apr 22, 2023.