Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMARA JOY HENDRICKSON, ABO, NCLE
Active Sole ProprietorTAMARA JOY HENDRICKSON, ABO, NCLE is a Optician, Dispensing healthcare provider located in BLAINE, Minnesota. NPI 1689365736 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · BLAINE, MN
Registration Details
- NPI Number
- 1689365736
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 18, 2023 (3.2587986649289 yrs)
- Last Updated
- May 18, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
11505 ULYSSES ST NE # BBLAINE, MN, 554344239Browse MN providers · Browse ZIP 55434
- Phone
- 7633545399
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in BLAINE, MN
| Name | Credential | NPI |
|---|---|---|
| AMY LYN JOHNSON | ABO | 1629848791 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.