Individual
KENDRA MICHELLE HETRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(919) 966-7890
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-1000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
333760
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
6611
NC
367500000X
Certified Registered Nurse Anesthetist
COA.17365NA
OH
Other
Enumeration date
02/17/2015
Last updated
02/12/2025
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