Hazel Beverly Frederick-McMillan
Registered Nurse in New York, NY. Individual provider (NPI-1).
NPI number1346190071
StatusActive
Last updated in NPPESFeb 2, 2026
Details
- NPI
- 1346190071
- Entity type
- Individual (NPI-1)
- Name
- Hazel Beverly Frederick-McMillan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 2, 2026
- Certification date
- Feb 2, 2026
- Last updated
- Feb 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 469975-01 | NY | Yes |
Practice location
180 W 135th StNew York, NY 10030-2902
Phone 212-385-3030
Mailing address
180 W 135th StNew York, NY 10030-2902
Phone 212-385-3030
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