DOMINIQUE S HENDRICKS
NPI 1083490031
Licensed Practical Nurse in Anmoore, WV

Active since September 06, 2023
67 CASINO DRIVE, ANMOORE, WV 26323(304) 622-1684(304) 622-0810 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dominique S Hendricks NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIQUE S HENDRICKS (NPI 1083490031) is an individual licensed practical nurse in Anmoore, West Virginia, licensed in West Virginia (40469) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1083490031
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameDOMINIQUE S HENDRICKS
Location Address67 CASINO DRIVEAnmoore, WV 26323
Mailing AddressPo Box 315Anmoore, WV 26323-0315
Fax(304) 622-0810
Sole ProprietorNo
Enumeration DateSeptember 6, 2023
NPPES CertifiedAugust 25, 2023
NPI 1083490031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in WV · 40469
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
67 CASINO DRIVE, Anmoore, WV 26323

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
67 CASINO DRIVE, SUITE 104
ANMORE, WV 26323
Physical Therapist
67 CASINO DRIVE, SUITE 104
ANMOORE, WV 26323
Optometrist
67 CASINO DRIVE, SUITE 102
ANMOORE, WV 26323
Occupational Therapist
67 CASINO DRIVE, SUITE 104
ANMOORE, WV 26323
Hospice Care, Community Based
67 CASINO DRIVE, SUITE 102
ANMOORE, WV 26323
Optometrist
67 CASINO DRIVE, SUITE 101
ANMOORE, WV 26323
Registered Nurse
67 CASINO DRIVE
ANMOORE, WV 26323

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Hendricks's NPI number?

The NPI number for Dominique Hendricks is 1083490031. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Dominique Hendricks located?

Dominique Hendricks practices at 67 Casino Drive, Anmoore, WV 26323. The listed phone number is (304) 622-1684.

What is Dominique Hendricks's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Dominique Hendricks was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.