Individual provider · Type 1 NPI

Samantha Lynne Fredrickson, FNP

Family Nurse Practitioner · Fort Wayne, IN

NPI number 1659008670 Active

Practice location

2100 Goshen Rd
Fort Wayne, IN 46808-1493

Mailing address

1211 Almdale Dr
Fort Wayne, IN 46818-8429

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X71012743A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1659008670

Samantha Lynne Fredrickson, FNP's National Provider Identifier is 1659008670, issued on Aug 1, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Wayne, IN. The record was last updated on Aug 1, 2022.