Individual
MICHELLE LYNNE HENDRICKX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3209 S 23RD ST, STE. 340, TACOMA, WA 98405-1602
(253) 272-8148
(253) 404-0506
Mailing address
2420 S UNION AVE, STE 200, TACOMA, WA 98405-1322
(253) 272-8148
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP30005252
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9630898
—
WA
01
—
AP30005252
WA LICENSE
WA
Enumeration date
02/10/2006
Last updated
10/17/2017
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