Mrs Emily Elizabeth Hendrickson, CPNP | |
3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 | |
(937) 320-1950 | |
(937) 320-9332 |
Full Name | Mrs Emily Elizabeth Hendrickson |
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Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 3140 Dayton Xenia Road, Beavercreek, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487892964 | NPI | - | NPPES |
0326400 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | NP-10256 (Ohio) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | APRN.CNP.10256 (Ohio) | Primary |
Entity Name | Dayton Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730392309 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
Entity Name | Dayton Childrens Specialty Physicians Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225192610 PECOS PAC ID: 5496916124 Enrollment ID: O20181024001690 |
Mailing Address | Practice Location Address |
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Mrs Emily Elizabeth Hendrickson, CPNP 9000 N Main St, Englewood, OH 45415-1180 Ph: (937) 832-7337 | Mrs Emily Elizabeth Hendrickson, CPNP 3140 Dayton Xenia Road, Suite C, Beavercreek, OH 45434 Ph: (937) 320-1950 |
Carrie Steward, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2605 Greenbrier Ct, Beavercreek, OH 45431 Phone: 937-782-8103 | |
Jessica Lynn Ullery, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 220, Beavercreek, OH 45431 Phone: 937-429-7350 Fax: 937-431-2623 | |
Mrs. Theresa Marie Borchers, C.R.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1331 N Fairfield Rd, Beavercreek, OH 45432 Phone: 937-426-4280 | |
Laura Busteed, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431 Phone: 937-490-2270 | |
Sheryl Spires, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd, Suite 210, Beavercreek, OH 45431 Phone: 937-429-0607 Fax: 937-558-3067 | |
Gregory David Bellanca, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 725 University Blvd, Beavercreek, OH 45324 Phone: 937-245-7200 Fax: 937-245-7999 | |
Yolonda M Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2510 Commons Blvd. Suite 160, Beavercreek, OH 45431 Phone: 937-426-0049 Fax: 937-431-8140 |