Individual provider · Type 1 NPI

Lisa Kay Fredrick, NP

Nurse Practitioner · Coeur D Alene, ID

NPI number 1316405657 Active

Practice location

700 W Ironwood Dr Ste 350
Coeur D Alene, ID 83814-4487

Call (208) 625-5230 Map

Fax (208) 625-5231

Mailing address

2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	NP60945 (ID)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316405657

Lisa Kay Fredrick, NP's National Provider Identifier is 1316405657, issued on Mar 5, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jun 5, 2019.