Mary Hendrix
Nurse Practitioner - Pediatrics
3118 S Lafountain St # At
Kokomo
, Indiana 46902-3710
Mary Hendrix
Nurse Practitioner - Pediatrics
3118 S Lafountain St # At
Kokomo
, Indiana 46902-3710
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Mary Hendrix
- 8003 Castleway Dr
- Indianapolis, IN
- Zip : 46250-1946
- Phone :
Second Address
- Mary Hendrix
- 3118 S Lafountain St # At
- Kokomo, IN
- Zip : 46902-3710
- Phone : (765) 864-4160
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 28171905A | IN |
National Provider Identifier
| NPI | 1043688211 |
|---|---|
| Provider Name | Mary Hendrix |
| First Address | Indianapolis, IN 46250-1946 |
| Second Address | Kokomo, IN 46902-3710 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/09/2015 |
| Last Update Date | 24/01/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.