Individual provider · Type 1 NPI

Katie Lee Frederickson, FNP-BC

Family Nurse Practitioner · Camarillo, CA

NPI number 1104237544 Active

Practice location

2438 N Ponderosa Dr, C-105
Camarillo, CA 93010-2369

Call (805) 388-2068 Map

Fax (805) 484-7700

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	NP95000513 (CA)

Family Nurse Practitioner: Definition to come...

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Gerald Nathan Karpman, MDDermatology Physician Camarillo, CA NPI 1619905437
John Williams Persons, DDSGeneral Practice Dentistry Camarillo, CA NPI 1467492793
Leopold Weinstein, DDSGeneral Practice Dentistry Camarillo, CA NPI 1033328547

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About NPI 1104237544

Katie Lee Frederickson, FNP-BC's National Provider Identifier is 1104237544, issued on May 19, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Camarillo, CA. The record was last updated on May 19, 2014.