Individual
DR. SHARON L HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP/ENP/FNP/AGACNP
Contact information
Practice address
1208 LUTHER STREET, EADS, CO 81036
(719) 438-5401
Mailing address
800 W PEARL ST, LAMAR, CO 81052-3058
(719) 691-4979
(719) 691-7733
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
990110
CO
367A00000X
Advanced Practice Midwife
170012
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22057331
—
CO
01
—
8HH136
MEDICARE PTAN
MT
01
—
8HH137
MEDICARE PTAN
MT
01
—
MH1116373
DEA
CO
Enumeration date
04/14/2006
Last updated
07/21/2025
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