Individual
KAITLIN JANE HENDRIKSMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
400 RENAISSANCE CTR STE 2600, PBM 2027, DETROIT, MI 48243-1599
(888) 731-8994
Mailing address
400 RENAISSANCE CTR STE 2600, PBM 2027, DETROIT, MI 48243-1599
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704278692
MI
Other
Enumeration date
09/24/2017
Last updated
05/15/2024
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