Individual provider · Type 1 NPI

Teresa Fredericks, RN

Ambulatory Care Registered Nurse · St. Louis, MO

NPI number 1114779931 Active

Practice location

915 N Grand Blvd
St. Louis, MO 63106-1621

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Care Registered Nurse Primary 163WP2201X2007004315 (MO)

Ambulatory Care Registered Nurse: Definition to come...

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About NPI 1114779931

Teresa Fredericks, RN's National Provider Identifier is 1114779931, issued on Apr 4, 2024. The primary taxonomy on file is Ambulatory Care Registered Nurse (163WP2201X), and the practice location is in St. Louis, MO. The record was last updated on Apr 29, 2024.