Dominique S. Hendricks
Licensed Practical Nurse · Anmoore, WV
Practice location
67 Casino DriveAnmoore, WV 26323
- Phone
- (304) 622-1684
- Fax
- (304) 622-0810
NPI record
- NPI
- 1083490031
- Entity type
- Individual (Type 1)
- Enumeration date
- September 6, 2023
- Last updated
- September 6, 2023
- Certified
- August 25, 2023
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
40469 | WV |
Mailing address
PO Box 315Anmoore, WV 26323-0315
About Dominique Hendricks
Dominique S. Hendricks is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 67 Casino Drive, Anmoore, WV 26323. The NPI number 1083490031 was assigned on September 6, 2023 and the record was last updated on September 6, 2023.
Dominique Hendricks lists a license in the registry: #40469 (WV) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Dominique S. Hendricks?
The NPI number is 1083490031.
What is the phone number of Dominique Hendricks?
The phone number listed for the practice location is (304) 622-1684.
Where is Dominique Hendricks located?
67 Casino Drive, Anmoore, WV 26323.
What is the taxonomy code for Dominique Hendricks?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Licensed Practical Nurse providers in Anmoore
- Desirae Noelle Greathouse, LPN67 Casino Dr