HOLLY MARIE HENDERSHOT APRN NPI 1083366397

NPI Information

NPI: 1083366397
Provider Name: HOLLY MARIE HENDERSHOT, APRN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
28800 RYAN RD STE 320
WARREN, MI
ZIP 48092
Phone: (877) 906-9699
Get Directions

Holly Marie Hendershot, APRN is a family nurse practitioner in Warren, MI with 2 years of experience. Holly Marie Hendershot, APRN NPI is 1083366397. 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:

28800 RYAN RD STE 320
WARREN, MI
ZIP 48092-272
Phone: (877) 906-9699
Fax: (866) 227-7418

The NPI 1083366397 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2022 and was last updated on 11/7/2022.

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	163W00000X	Registered Nurse		4704287330	MICHIGAN	No
2	363LF0000X	Nurse Practitioner	Family	4704287330	MICHIGAN	Yes

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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