Individual
ELIZABETH A. HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P.
Contact information
Practice address
1800 ORLEANS ST, BLOOMBERG 7218, BALTIMORE, MD 21287-0005
(410) 955-2883
Mailing address
PO BOX 64362, BALTIMORE, MD 21264-4362
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R119981
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432123500
—
MD
Enumeration date
05/20/2006
Last updated
01/22/2013
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