Individual
RIO HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 HAZELTINE BLVD STE 370, CHASKA, MN 55318-1009
(800) 447-5444
Mailing address
1107 HAZELTINE BLVD STE 370, CHASKA, MN 55318-1009
(952) 836-6221
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13028
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/05/2025
Last updated
08/13/2025
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