# HENDERSHOT WELLNESS CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669272795
- **Authorized official:** EMILY WARRICK CRNP (OWNER)
- **Authorized official phone:** (814) 205-4957

## Contact information

- **Practice address:** 235 E MARKET ST, CLEARFIELD, PA 16830-2424
- **Practice address phone:** (814) 577-5875
- **Mailing address:** 235 E MARKET ST, CLEARFIELD, PA 16830-2424
- **Mailing address phone:** (814) 205-4957
- **Mailing address fax:** (814) 205-4090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/17/2025
- **Last updated:** 05/19/2025