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

Glenmore Hendricks, NP

Individual provider Nurse Practitioner · NPI 1720293277

Glenmore Hendricks, NP is a Nurse Practitioner in Riverside, California. Qualified in 2004, 22 years ago. Practices with The Charlotte-Mecklenburg Hospital Authority, a 589-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

7117 Brockton Ave
Riverside, CA 92506-2658
Phone: (951) 782-3622
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence NP 14239 (CA)

Record details

NPI number1720293277
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedMay 10, 2007
Last updated in NPPESApril 22, 2023
Certification dateApril 22, 2023
Mailing address12742 Limonite Ave, Eastvale, CA 92880-9630

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice The Charlotte-Mecklenburg Hospital Authority — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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