Individual provider · Type 1 NPI
Maddie Marie Frederick, DNP
Neonatal Nurse Practitioner · Minneapolis, MN
NPI number
1760100424
Active
Practice location
2450 Riverside Ave
Minneapolis, MN 55454-1450
Mailing address
500 W Franklin Ave Apt 103
Minneapolis, MN 55405-3654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal Nurse Practitioner Primary | 363LN0000X | 9416 (MN) |
Neonatal Nurse Practitioner: Definition to come...
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About NPI 1760100424
Maddie Marie Frederick, DNP's National Provider Identifier is 1760100424, issued on Aug 18, 2022. The primary taxonomy on file is Neonatal Nurse Practitioner (363LN0000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 18, 2022.