Hendricks, Sharon L

Hendricks, Sharon L is an individual health care provider with primary practice located at 401 Kendall Dr , Lamar CO 81052-3942. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Hendricks, Sharon L can be contacted via phone (719) 336-4343.

Contact Information

Primary practice address
401 Kendall Dr Lamar CO 81052-3942
Phone: (719) 336-4343
Fax: (719) 336-7207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 170012 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 990110 Colorado

Profile Details

NPI number 1316901390
LBN Legal business name Hendricks, Sharon L
Credentials AGACNP-BC/FNP-C/CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Mar 17th, 2021 - about 5 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 1316901390 NPPES
Montana Other 8HH137 MEDICARE PTAN
Montana MEDICAID 22057331 MEDICARE PTAN
Montana Other 8HH136 MEDICARE PTAN

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