Individual provider · NPI-1
Heather Hendrickson, CPNP-PC
Nurse Practitioner, Pediatrics · Thornton, CO
NPI number1063236990
StatusActive
Last updated in NPPESNov 7, 2024
Details
- NPI
- 1063236990
- Entity type
- Individual (NPI-1)
- Name
- Heather Hendrickson
- Credential
- CPNP-PC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2024
- Certification date
- Nov 7, 2024
- Last updated
- Nov 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | APN-0999984-NP | CO | Yes |
Practice location
5261 E 131st DrThornton, CO 80241-2327
Phone 720-256-8140
Mailing address
5261 E 131st DrThornton, CO 80241-2327
Phone 720-256-8140
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