Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dominique S Hendricks

Individual provider Licensed Practical Nurse · NPI 1083490031

Dominique S Hendricks is a Licensed Practical Nurse in Anmoore, West Virginia. Licensed in West Virginia. Registered with an NPI since 2023.

Licensed in
WV
In the registry since
2023

Practice location Address checks out

67 Casino Dr
Anmoore, WV 26323
Phone: (304) 622-1684
Fax: (304) 622-0810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 40469 (WV)

Record details

NPI number1083490031
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 6, 2023
Last updated in NPPESSeptember 6, 2023
Certification dateAugust 25, 2023
Mailing addressPo Box 315, Anmoore, WV 26323-0315

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