Individual provider · Type 1 NPI
Douglas Ryan Fredona, MSN, FNP-BC, FNP-C
Primary Care Nurse Practitioner · Salinas, CA
NPI number
1871361543
Active
Practice location
1212 S Main St
Salinas, CA 93901-2260
Mailing address
100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95026950 (CA) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 95026950 (CA) |
Primary Care Nurse Practitioner: Definition to come...
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About NPI 1871361543
Douglas Ryan Fredona, MSN, FNP-BC, FNP-C's National Provider Identifier is 1871361543, issued on Dec 13, 2023. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Salinas, CA. The record was last updated on Jan 4, 2024.