Individual
ANGELA FRANCIS HENDRIKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5293 JONES RESERVE WALK, POWDER SPRINGS, GA 30127-9209
(770) 256-7529
Mailing address
5293 JONES RESERVE WALK, POWDER SPRINGS, GA 30127-9209
(770) 256-7529
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN092786
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20160318
LA STATE BOARD OF PRACTICAL NURSING
LA
01
—
LPN092786
STATE OF GA BOARD OF PRACTICAL NURSING
GA
Enumeration date
12/18/2020
Last updated
12/18/2020
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