Individual
MS. DEBORAH A HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 BAVARIAN DR, CASTLE HAYNE, NC 28429-5100
(910) 602-7775
Mailing address
112 BAVARIAN DR, CASTLE HAYNE, NC 28429-5100
(910) 602-7775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5000026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00007
BC
NC
05
—
3400042
—
NC
01
—
3406870
AMBULANCE MEDICAID
NC
01
—
562014989
TRICARE
NC
Enumeration date
07/13/2006
Last updated
03/04/2010
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