Individual
PATRICIA HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
2901 TRANSPORT ST SE, ALBUQUERQUE, NM 87106
(505) 254-6500
(505) 254-6528
Mailing address
PO BOX 26028, ALBUQUERQUE, NM 87125-6028
(505) 262-7215
(505) 232-1627
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R13802
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91009
—
NM
Enumeration date
07/08/2006
Last updated
03/12/2019
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