Individual
KRISTA HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
7690389-4402
UT
367A00000X
Advanced Practice Midwife
Primary
7690389
UT
Other
Enumeration date
03/23/2022
Last updated
03/09/2023
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