Individual provider · Type 1 NPI
Nicholas Henry Frederiksen, APRN, CNP
Adult Health Nurse Practitioner · Fargo, ND
NPI number
1013319334
Active
Practice location
3000 32nd Ave S
Fargo, ND 58103-6132
Fax (701) 364-8078
Mailing address
PO Box 6001
Fargo, ND 58108-6001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R41352 (ND) |
| Adult Health Nurse Practitioner Primary | 363LA2200X | R41352 (ND) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1013319334
Nicholas Henry Frederiksen, APRN, CNP's National Provider Identifier is 1013319334, issued on Sep 17, 2014. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Fargo, ND. The record was last updated on Dec 28, 2015.