MRS. SANDRA LEE HENDRICKSON GERIATRIC NURSE PRAC NPI 1083931968

NPI Information

NPI: 1083931968
Provider Name: MRS. SANDRA LEE HENDRICKSON, GERIATRIC NURSE PRAC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Address:
1011 CASS ST STE 107
MONTEREY, CA
ZIP 93940
Phone: (831) 324-0416
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MRS. Sandra Lee Hendrickson, GERIATRIC NURSE PRAC is a gerontology nurse practitioner in Monterey, CA. MRS. Sandra Lee Hendrickson, GERIATRIC NURSE PRAC NPI is 1083931968. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1011 CASS ST STE 107
MONTEREY, CA
ZIP 93940-542
Phone: (831) 324-0416

The enumeration date for this NPI number is 4/30/2010 and was last updated on 11/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LG0600X	Nurse Practitioner	Gerontology	2242	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CA147502	OTHER	CALIFORNIA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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