Individual
ELENA LOUISE HENDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1738 OWEN DR STE 107, FAYETTEVILLE, NC 28304-3419
(910) 307-7330
(910) 307-7334
Mailing address
1738 OWEN DR STE 107, FAYETTEVILLE, NC 28304-3419
(910) 307-7330
(910) 307-7334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006886
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5006886
NC LICENSE
NC
Enumeration date
06/21/2014
Last updated
05/07/2024
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