Individual
MRS. ROSETTA T HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CFNP
Contact information
Practice address
3937 FERRARA DR, SILVER SPRING, MD 20906-4709
(301) 942-0678
(301) 942-0079
Mailing address
3116 FESSENDEN ST NW, WASHINGTON, DC 20008-2029
(301) 942-0678
(301) 942-0079
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R118050
MD
363LF0000X
Family Nurse Practitioner
RN39420
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00144321
RR MEDICARE
DC
Enumeration date
06/25/2006
Last updated
09/07/2011
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