Search › Indiana › 363A00000X
Elizabeth Hendricks, PAC
NPI 1659314524 · on the registry since 2006
Practice
- Address
- 3717 Maplecrest Rd
Fort Wayne, IN 46815 - Phone
- (260) 486-7334
- Fax
- (260) 486-6447
- Organisation at this address
- Qhg Of Fort Wayne Company Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-03-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana