Hendren, Debra A

Hendren, Debra A is an individual health care provider with primary practice located at 1344 22Nd St S , Saint Petersburg FL 33712-2744. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Hendren, Debra A can be contacted via phone (901) 481-4642.

Contact Information

Primary practice address
1344 22Nd St S Saint Petersburg FL 33712-2744
Phone: (901) 481-4642
Fax: (727) 824-8150
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9427949 Florida

Profile Details

NPI number 1912914078
LBN Legal business name Hendren, Debra A
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jul 28th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912914078 NPPES
Wyoming MEDICAID 123327100
Wyoming Other BLUE CROSS OF WY

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