Individual provider · Type 1 NPI
Gloria Fredericks, CRNP
Nurse Practitioner · Paoli, PA
Practice location
255 W Lancaster Ave, Paoli Medical Building 3 Suite 234
Paoli, PA 19301-1763
Fax (610) 647-7430
Mailing address
207 N Broad St, 3rd Floor
Philadelphia, PA 19107-1500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | SP007210 (PA) |
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 1386898013
Gloria Fredericks, CRNP's National Provider Identifier is 1386898013, issued on Nov 7, 2008. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Paoli, PA. The record was last updated on Jan 31, 2013.