Catherine Fredrickson, SFA
Physician Assistant, Surgical in Maricopa, AZ. Individual provider (NPI-1).
NPI number1982124509
StatusActive
Last updated in NPPESApr 17, 2019
Details
- NPI
- 1982124509
- Entity type
- Individual (NPI-1)
- Name
- Catherine Fredrickson
- Credential
- SFA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 24, 2017
- Last updated
- Apr 17, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | – | – | Yes |
Other names
- Cathey Fredrickson (Other Name)
Practice location
51312 W Deer Run RdMaricopa, AZ 85139-3554
Phone 205-840-7509
Mailing address
51312 W Deer Run RdMaricopa, AZ 85139-3554
Phone 205-840-7509
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgical Physician Assistant providers in Maricopa, AZ
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.