Individual
MRS. EMILY ELIZABETH HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3140 DAYTON XENIA ROAD, SUITE C, BEAVERCREEK, OH 45434
(937) 320-1950
(937) 320-9332
Mailing address
9000 N MAIN ST, ENGLEWOOD, OH 45415-1180
(937) 832-7337
(937) 832-4817
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN.CNP.10256
OH
363LP0200X
Pediatric Nurse Practitioner
NP-10256
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0326400
—
OH
Enumeration date
01/22/2009
Last updated
02/13/2026
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