Individual
AMANDA SUE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1230 WOODLAND DR STE 211, ELIZABETHTOWN, KY 42701-2792
(270) 982-2500
(270) 982-2501
Mailing address
1230 WOODLAND DR STE 211, ELIZABETHTOWN, KY 42701-2792
(270) 982-2500
(270) 982-2501
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006944
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12250853
CAQH
—
05
—
7100170880
—
KY
Enumeration date
06/02/2011
Last updated
05/03/2023
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