Individual
CARLY ANN HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3333 BURNET AVE, ML 11027, CINCINNATI, OH 45229-3026
(513) 517-2234
(513) 803-1969
Mailing address
3333 BURNET AVE, CINCINNATI, OH 45229-3026
(553) 636-4432
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
529290
OH
363L00000X
Nurse Practitioner
Primary
0035261
OH
Other
Enumeration date
10/25/2021
Last updated
11/09/2023
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