Individual provider · Type 1 NPI

John M. Fredericks Jr., LPN

Licensed Practical Nurse · New York, NY

NPI number 1871035162 Active

Practice location

2975 Rte 9, Cold Spring
New York, NY 10516

Call (646) 925-4469 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X217537-1 (NY)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1871035162

John M. Fredericks Jr., LPN's National Provider Identifier is 1871035162, issued on Nov 17, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New York, NY. The record was last updated on Nov 21, 2016.