Individual provider · Type 1 NPI

Annmarie Fredericks, N.P.

Adult Health Nurse Practitioner · Brockton, MA

NPI number 1366458424 Active

Practice location

940 Belmont St
Brockton, MA 02301-5596

Call (774) 826-2889 Map

Fax (774) 826-2014

Mailing address

32 Dalton Rd
Holbrook, MA 02343-1013

Specialties and licenses

Taxonomy	Code	License
Adult Health Nurse Practitioner Primary	363LA2200X	173013 (MA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1366458424

Annmarie Fredericks, N.P.'s National Provider Identifier is 1366458424, issued on Jul 31, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Brockton, MA. The record was last updated on Jul 8, 2007.