Individual provider · Type 1 NPI

McKenzi Frederick, RN

Registered Nurse · Flora, IL

NPI number 1104588326 Active

Practice location

165 Kinnaman Dr
Flora, IL 62839-4204

Mailing address

4241 Highway 14 W
Christopher, IL 62822-1037

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X041501632 (IL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1104588326

McKenzi Frederick, RN's National Provider Identifier is 1104588326, issued on Oct 6, 2021. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Flora, IL. The record was last updated on Oct 6, 2021.