Individual
MARISSA RAE HENDRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
950 E HICKMAN RD, WAUKEE, IA 50263-8866
(515) 987-8256
Mailing address
950 E HICKMAN RD, WAUKEE, IA 50263-8866
(515) 987-8256
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
121500
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2022
Last updated
09/05/2025
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