Individual provider · Type 1 NPI

Ma. Theresa Corpuz Fredrickson, NP

Gerontology Nurse Practitioner · La Crosse, WI

NPI number 1760157234 Active

Practice location

1836 South Ave
La Crosse, WI 54601-5429

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X11200-33 (WI)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1760157234

Ma. Theresa Corpuz Fredrickson, NP's National Provider Identifier is 1760157234, issued on Aug 16, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in La Crosse, WI. The record was last updated on Sep 10, 2026.