Individual provider · Type 1 NPI
Neely Richardson Frederick, NP-C
Family Nurse Practitioner · Fairfax, VA
NPI number
1275924433
Active
Practice location
4400 University Dr Bldg 1
Fairfax, VA 22030-4444
Fax (703) 993-4365
Other practice locations
- 908 E 16th St Ste B, Wilmington, DE 19802-5145 · (302) 652-2455
- 2 Penns Way, Suite 412, New Castle, DE 19720 · (302) 652-2455
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | LG-0000992 (DE) |
| Family Nurse Practitioner | 363LF0000X | 5007466 (NC) |
| Family Nurse Practitioner Primary | 363LF0000X | 0024185660 (VA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1275924433
Neely Richardson Frederick, NP-C's National Provider Identifier is 1275924433, issued on Feb 10, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fairfax, VA. The record was last updated on Feb 26, 2024.