Individual provider · Type 1 NPI

Mary L. Fredrick, APRN

Family Nurse Practitioner · Columbia, SC

NPI number 1376084970 Active

Practice location

731 Polo Road
Columbia, SC 29223

Call (800) 491-0909 Map

Mailing address

1624 Main St
Columbia, SC 29201-2818

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X20853 (SC)

Family Nurse Practitioner: Definition to come...

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About NPI 1376084970

Mary L. Fredrick, APRN's National Provider Identifier is 1376084970, issued on Mar 15, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Columbia, SC. The record was last updated on Aug 14, 2018.