Individual
MARISSA HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
23026 VALERIE ST, SOUTH LYON, MI 48178-1632
(248) 931-0686
Mailing address
23026 VALERIE ST, SOUTH LYON, MI 48178-1632
(248) 931-0686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704346080
MI
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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