Individual provider · Type 1 NPI
Elise Fredeking, NP-C
Nurse Practitioner · Panama City, FL
Practice location
2100 State Ave
Panama City, FL 32405-4587
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 11003617 (FL) |
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 1669028759
Elise Fredeking, NP-C's National Provider Identifier is 1669028759, issued on Aug 14, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Panama City, FL. The record was last updated on Apr 21, 2021.