Individual
AMBER ROSE HENDRIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1507 DOCTORS CT, WATERTOWN, WI 53094-4101
(920) 261-4111
Mailing address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4495
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9490
WI
363LF0000X
Family Nurse Practitioner
Primary
9490
WI
Other
Enumeration date
09/17/2019
Last updated
03/03/2023
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