Hendriks, Diane

Hendriks, Diane is an sole proprietor health care provider with primary practice located at 163 Stuyvesant Dr , Port Jefferson Station NY 11776-4251. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Hendriks, Diane can be contacted via phone (347) 596-6027.

Contact Information

Primary practice address
163 Stuyvesant Dr Port Jefferson Station NY 11776-4251
Phone: (347) 596-6027
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 2781571 New York

Profile Details

NPI number 1649459157
LBN Legal business name Hendriks, Diane
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2007
Last updated Oct 14th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers