Individual
VIRGINIA HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
10446 W HARVEST LN, MILWAUKEE, WI 53225-4036
(414) 464-3272
Mailing address
10446 W HARVEST LN, MILWAUKEE, WI 53225-4036
(414) 464-3272
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27608
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39928100
LPN HEALTHCARE PROVIDER
WI
Enumeration date
01/29/2007
Last updated
07/08/2007
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