Individual provider · Type 1 NPI
Liselle Frederick, LPN
General Practice Registered Nurse · North Baldwin, NY
NPI number
1023642808
Active
Practice location
1160 Hicks Pl
North Baldwin, NY 11510-1116
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 768654-1 (NY) |
General Practice Registered Nurse: Definition to come...
Other general practice registered nurse providers in North Baldwin
About NPI 1023642808
Liselle Frederick, LPN's National Provider Identifier is 1023642808, issued on Mar 2, 2020. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in North Baldwin, NY. The record was last updated on Mar 2, 2020.