Doctor Name: | MS. SHARON L HENDRICKS |
NPI Number: | 1316901390 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNM/FNP-C |
License Number: | 990110 |
Business Practice Address: | 403 Kendall Dr Lamar, CO - 810523953 |
Business Phone Number: | 7193363179 |
Business Fax Number: | 7193367228 |
Mailing Address: | 403 Kendall Dr, LAMAR |
State: | CO |
Postal Code: | 810523953 |
Phone Number: | 7193363179 |
Fax Number: | 7193367228 |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 08/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 990110 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |