Individual
MRS. KATERI HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
989 BURNT TAVERN RD STE 2, BRICK, NJ 08724-2014
(732) 836-3049
Mailing address
989 BURNT TAVERN RD STE 2, BRICK, NJ 08724-2014
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00900900
NJ
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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