Provider Demographics
NPI:1174344600
Name:HENDRIC, KARIN A (CNA)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:A
Last Name:HENDRIC
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 DIVISION AVE NE APT 201
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-5467
Mailing Address - Country:US
Mailing Address - Phone:202-739-7980
Mailing Address - Fax:
Practice Address - Street 1:405 DIVISION AVE NE APT 201
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-5467
Practice Address - Country:US
Practice Address - Phone:202-739-7980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-17
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCNA0000813972376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide