Individual
DANIEL HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 MIAMISBURG CENTERVILLE RD STE 207, MIAMISBURG, OH 45342-3674
(937) 560-2011
(937) 560-2012
Mailing address
3170 KETTERING BLVD BLDG B3, MORAINE, OH 45439-1924
(937) 991-3186
(937) 223-9811
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.022092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F11170189
AMERICAN ACADEMY OF NURSE PRACTITIONERS
OH
Enumeration date
02/13/2018
Last updated
01/25/2021
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