Individual
MR. MATTHEW THOMAS HENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
212 ROSEDALE DR, MANCHESTER, PA 17345-1023
(717) 851-5503
(717) 851-1905
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-5503
(717) 851-5507
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP005277D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1555995
GATEWAY-WMG
PA
01
—
1933959
HIGHMARK BLUE SHIELD
PA
01
—
205114
JOHNS HOPKINS
PA
01
—
50062488
CAPITAL BLUE CROSS-WMG
PA
01
—
889996
CAREFIRST MARYLAND BCBS
MD
Enumeration date
06/28/2006
Last updated
03/17/2018
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