Individual provider · Type 1 NPI
Mary E. Fredericks, ARNP
Psychiatric/Mental Health Nurse Practitioner · Olympia, WA
NPI number
1306188032
Active
Practice location
413 Lilly Rd NE, Pmg SW Wa Olympia Psychiatry
Olympia, WA 98506-5133
Fax (360) 493-7562
Mailing address
PO Box 3360
Portland, OR 97208-3360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | AP60491874 (WA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1306188032
Mary E. Fredericks, ARNP's National Provider Identifier is 1306188032, issued on Mar 20, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Olympia, WA. The record was last updated on May 18, 2021.