Individual
HELEN J HENDRIXPOLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
1100 CENTRAL AVE SE 2 RUTH HANNA, PHS WOUND CLINIC, ALBUQUERQUE, NM 87106
(505) 841-1204
(505) 222-2954
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R15316
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12736279
—
NM
Enumeration date
03/22/2007
Last updated
07/08/2007
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