Edyth Z Hendricks in Surprise - Physician Assistant

Edyth Z Hendricks - NPI 1710076112

Edyth Z Hendricks is a Physician Assistant in Surprise, Arizona. Edyth Z Hendricks practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Edyth Z Hendricks is 1710076112. The last update date is 2015-07-17.

Edyth Z Hendricks's current location address is 14780 W. Mountain View Blvd., Surprise, Arizona. You can contact this provider via phone number 6233747774. The mailing address for Edyth Z Hendricks is 14780 W. Mountain View Blvd., Surprise, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Edyth Z Hendricks
Address 14780 W. Mountain View Blvd., Surprise, Arizona
Phone Number 6233747774
Fax Number
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1710076112
Provider Enumeration Date 2006-10-12
Last Updated Date 2015-07-17

Provider Mailing Address Detail

Address 14780 W. Mountain View Blvd.
City Surprise
State Arizona (AZ)
Post Code 853747280
Phone Number 6233747774
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 3188
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Edyth Z Hendricks

What is the unique 10-digit identifier code issued to Edyth Z Hendricks by the Centers for Medicare & Medicaid Services?

The Edyth Z Hendricks has been assigned the NPI (National Provider Identifier) 1710076112 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Edyth Z Hendricks's facilities are geographically located?

The facilities of Edyth Z Hendricks are physically situated at the following location: 14780 W. Mountain View Blvd., Surprise, AZ, 853747280.

What is Edyth Z Hendricks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Edyth Z Hendricks is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Edyth Z Hendricks receive the assignment of its 1710076112 from the Centers for Medicare & Medicaid Services?

The Edyth Z Hendricks was issued its 1710076112 by the Centers for Medicare & Medicaid Services on 2006-10-12.

When was the information regarding Edyth Z Hendricks, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Edyth Z Hendricks, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-07-17.

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