Individual
MS. DEBORAH SUE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3470 E FRANK PHILLIPS BLVD, BARTLESVILLE, OK 74006-0000
(918) 331-1760
(918) 331-1212
Mailing address
4401 W MEMORIAL RD, #138, OKLAHOMA CITY, OK 73134-1785
(405) 936-2812
(405) 936-2891
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
41105
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41105
STATE LICENSE
OK
01
—
A0809089
CERTIFICATION NUMBER
OK
Enumeration date
11/20/2009
Last updated
11/20/2009
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