Individual provider · Type 1 NPI

Rachel Fredericksen

Medical Physician Assistant · Cleveland, OH

NPI number 1730715632 Active

Practice location

9500 Euclid Ave
Cleveland, OH 44195-2759

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Medical Physician Assistant Primary 363AM0700X50.006720RX (OH)

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About NPI 1730715632

Rachel Fredericksen's National Provider Identifier is 1730715632, issued on Mar 23, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Cleveland, OH. The record was last updated on Dec 1, 2022.