NPI 1104163336

Stormie Hendrickson

Practitioner Student in an Organized Health Care Education/Training Program Augusta, ME

Practice location

Address: 841 Riverside Dr, Augusta, ME 04330-8302
Phone: (207) 213-4616
Fax: (207) 213-4727

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Maine →

Registry record

NPI: 1104163336
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Jan 2013
Record last updated: 8 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.