Individual provider · Type 1 NPI
Nancy Frederic, NP
Psychiatric/Mental Health Nurse Practitioner · West Orange, NJ
NPI number
1063716769
Active
Practice location
75 Crestmont Rd
West Orange, NJ 07052-1626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 581305 (NY) |
| Registered Nurse | 163W00000X | 26NR17113600 (NJ) |
| Acute Care Nurse Practitioner | 363LA2100X | 430774 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 26NJ00512000 (NJ) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1063716769
Nancy Frederic, NP's National Provider Identifier is 1063716769, issued on Jan 10, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Orange, NJ. The record was last updated on Jan 27, 2022.