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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MISS AUDREY LYN HENDRICKS-ELLISTON

Active Sole Proprietor

MISS AUDREY LYN HENDRICKS-ELLISTON is a Licensed Practical Nurse healthcare provider located in BRONX, New York. NPI 1861852956 is currently active in the NPPES registry. Verify at CMS.

Licensed Practical Nurse · BRONX, NY

Registration Details

NPI Number
1861852956
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2016 (10.452790119528 yrs)
Last Updated
Mar 2, 2016
Licenses
296537-1 (NY)
2965371 (NY)
Sole Proprietor
Yes

Practice Information

Address
3511 BARNES AVE
TILDEN TOWERS 1 APT 6G
BRONX, NY, 104676031
Browse NY providers · Browse ZIP 10467
Phone
7185190515
Fax
7185190515
Primary Specialty
Licensed Practical Nurse
164W00000X
Additional Specialty
Licensed Practical Nurse

Other Licensed Practical Nurse Providers in BRONX, NY

Name Credential NPI
MS. EVA GODOY MILLAN CASAC 1124193362
MS. SHAUNNA OLSON-IMPELLIZIERI LPN 1821163957
MS. GALE WILLIAMS L.P.N. 1174681225
MS. CATHY LYNN BOYKINS LPN 1710025440
MRS. LOAYA UNGER LPN 1699800458
NATASHA CAMPBELL LPN 1952438459
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.