Individual
CHERIE HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
801 CENTRAL AVE STE 1, DOVER, NH 03820-2529
(603) 740-9713
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1819
NH
363AM0700X
Medical Physician Assistant
1819
NH
363AM0700X
Medical Physician Assistant
5724
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3105263
—
NH
Enumeration date
05/12/2016
Last updated
03/04/2025
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