Elsa Ashley Frederic, APRN
Nurse Practitioner, Family in Pembroke Pines, FL. Individual provider (NPI-1).
NPI number1376933192
StatusActive
Last updated in NPPESJan 15, 2020
Details
- NPI
- 1376933192
- Entity type
- Individual (NPI-1)
- Name
- Ms. Elsa Ashley Frederic
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 1, 2015
- Certification date
- Jan 15, 2020
- Last updated
- Jan 15, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11005206 | FL | Yes |
Practice location
230 Sw 117th Terrace Unit 103Pembroke Pines, FL 33025-1054
Phone 786-718-3813
Mailing address
230 Sw 117th Terrace Unit 103Pembroke Pines, FL 33025-1054
Phone 786-718-3813
Other practice locations
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