Individual
HOLLY MARIE HENDERSHOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
28800 RYAN RD STE 320, WARREN, MI 48092-4272
(877) 906-9699
(866) 227-7418
Mailing address
613 BROWN ST, SAINT CLAIR, MI 48079-4891
(810) 887-7858
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704287330
MI
363LF0000X
Family Nurse Practitioner
Primary
4704287330
MI
Other
Enumeration date
01/19/2022
Last updated
11/07/2022
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