Individual provider · NPI-1

Dr. Nicole Lea Frederick, DNP, APRN,ACCNS-AG

Clinical Nurse Specialist, Critical Care Medicine · Fort Worth, TX

NPI number1033768866
StatusActive
Last updated in NPPESSep 4, 2019

Details

NPI
1033768866
Entity type
Individual (NPI-1)
Name
Dr. Nicole Lea Frederick
Credential
DNP, APRN,ACCNS-AG
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2019
Last updated
Sep 4, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
364SC0200X Clinical Nurse Specialist, Critical Care Medicine31465TXYes

Practice location

2001 Thistle Park Dr Apt 5105
Fort Worth, TX 76110-1651

Phone 817-907-6953

Mailing address

2001 Thistle Park Dr Apt 5105
Fort Worth, TX 76110-1651

Phone 817-907-6953

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