Dominique S Hendricks, - Licensed Practical Nurse in Anmoore, WV

Dominique S Hendricks, is a Licensed Practical Nurse based in Anmoore, West Virginia. Dominique S Hendricks is licensed to practice in West Virginia (license number 40469) and her current practice location is 67 Casino Drive, Anmoore, West Virginia. She can be reached at her office (for appointments etc.) via phone at (304) 622-1684.

NPI number for Dominique S Hendricks is 1083490031 and her current mailing address is Po Box 315, Anmoore, West Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083490031.

Contact Information

Dominique S Hendricks,
67 Casino Drive,
Anmoore, WV 26323
(304) 622-1684
(304) 622-0810



Provider's Profile

Full NameDominique S Hendricks
GenderFemale
SpecialityLicensed Practical Nurse
Location67 Casino Drive, Anmoore, West Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083490031
  • Provider Enumeration Date: 09/06/2023
  • Last Update Date: 09/06/2023

Medical Identifiers

Medical identifiers for Dominique S Hendricks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083490031NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 40469 (West Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dominique S Hendricks is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dominique S Hendricks,
Po Box 315,
Anmoore, WV 26323-0315

Ph: () -
Dominique S Hendricks,
67 Casino Drive,
Anmoore, WV 26323

Ph: (304) 622-1684

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› Verified 3 days ago


Licensed Practical Nurse Nurses in Anmoore, WV

Desirae Noelle Greathouse, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 67 Casino Dr, Suite 104, Anmoore, WV 26323
Phone: 304-622-1684    

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