Individual provider · Type 1 NPI

Marjory Frederic, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Las Vegas, NV

NPI number 1871294447 Active

Practice location

5940 S Rainbow Blvd Ste 400
Las Vegas, NV 89118-2507

Fax (702) 758-7315

Other practice locations

  • 3415 S Sepulveda Blvd Fl 11, Los Angeles, CA 90034-6060 · (702) 854-6853

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse 163WC0400XRN78446 (NV)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X95032219 (CA)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X871409 (NV)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

7 other providers at this address

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About NPI 1871294447

Marjory Frederic, PMHNP-BC's National Provider Identifier is 1871294447, issued on Mar 13, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Las Vegas, NV. The record was last updated on May 24, 2025.