Individual provider · Type 1 NPI

Regina M. Frederick, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1447731302 Active

Practice location

11143 Parkview Plaza Dr Ste 200
Fort Wayne, IN 46845-1728

Call (260) 266-8820 Map

Fax (260) 266-8829

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	71008494A (IN)

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 1447731302

Regina M. Frederick, NP's National Provider Identifier is 1447731302, issued on Aug 28, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Dec 2, 2024.