Individual provider · Type 1 NPI

Liberty Frederick

Student in an Organized Health Care Education/Training Program · Grass Valley, CA

NPI number 1316732399 Active

Practice location

900 E Main St Ste 201
Grass Valley, CA 95945-5853

Call (530) 273-2244 Map

Mailing address

13223 Madrone Forest Dr
Nevada City, CA 95959-8940

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316732399

Liberty Frederick's National Provider Identifier is 1316732399, issued on Apr 11, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Grass Valley, CA. The record was last updated on Apr 14, 2025.