Individual
LAUREN COLBY HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
100 WHETSTONE PL STE 205, SAINT AUGUSTINE, FL 32086-5775
(904) 819-9925
Mailing address
406 HEFFERON DR, SAINT AUGUSTINE, FL 32084-6516
(772) 633-3257
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
RN9361337
FL
363LP0200X
Pediatric Nurse Practitioner
Primary
ARNP9361337
FL
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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