Individual provider · Type 1 NPI
Emily Maria Fredericks, CPNP
Pediatric Nurse Practitioner · Chesterton, IN
NPI number
1447930623
Active
Practice location
801 Broadway
Chesterton, IN 46304-2230
Mailing address
6050 Sterling Creek Rd
Portage, IN 46368-7752
Other practice locations
- 6050 Sterling Creek Rd, Portage, IN 46368-7752 · (219) 763-8112
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | 71014132A (IN) |
Pediatric Nurse Practitioner: Definition to come...
5 other providers at this address
- Northshore Health Centers, Inc.Federally Qualified Health Center (FQHC) Chesterton, IN NPI 1568856045
- Northshore Health Centers, Inc.Federally Qualified Health Center (FQHC) Chesterton, IN NPI 1912646316
- Alexandrea Christine Karnick I, MS, LCACAAddiction (Substance Use Disorder) Counselor Chesterton, IN NPI 1851851760
- Jennifer Ellen Gray, DDSDentist Chesterton, IN NPI 1811564859
- Jessica Louise Tippy, FNP-CFamily Nurse Practitioner Chesterton, IN NPI 1972343218
About NPI 1447930623
Emily Maria Fredericks, CPNP's National Provider Identifier is 1447930623, issued on Jul 21, 2023. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chesterton, IN. The record was last updated on Jul 21, 2023.