Mrs. Sandra Lee Hendrickson
Nurse Practitioner - Gerontology
1011 Cass St Ste 107
Monterey
, California 93940-4542
Mrs. Sandra Lee Hendrickson
Nurse Practitioner - Gerontology
1011 Cass St Ste 107
Monterey
, California 93940-4542
(831) 236-5802
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Mrs. Sandra Lee Hendrickson
- 284 Forest Ridge Rd
- Monterey, CA
- Zip : 93940-4101
- Phone : (831) 236-5802
Second Address
- Mrs. Sandra Lee Hendrickson
- 1011 Cass St Ste 107
- Monterey, CA
- Zip : 93940-4542
- Phone : (831) 324-0416
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | 2242 | CA |
National Provider Identifier
| NPI | 1083931968 |
|---|---|
| Provider Name | Mrs. Sandra Lee Hendrickson |
| First Address | Monterey, CA 93940-4101 |
| Second Address | Monterey, CA 93940-4542 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/04/2010 |
| Last Update Date | 20/11/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CA147502 | MEDICARE PTAN (01) | CA |
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.