Individual provider · Type 1 NPI

Frederic Leland Ondovchak, R.N., M.S.N., A.P.R.

Family Nurse Practitioner · Dewey, AZ

NPI number 1932503802 Active

Practice location

13175 E State Route 169
Dewey, AZ 86327-7416

Fax (928) 632-5580

Mailing address

601 Tapco Ln
Clarkdale, AZ 86324-3415

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X26NJ00523800 (NJ)
Family Nurse Practitioner Primary 363LF0000XAP9884 (AZ)

Family Nurse Practitioner: Definition to come...

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About NPI 1932503802

Frederic Leland Ondovchak, R.N., M.S.N., A.P.R.'s National Provider Identifier is 1932503802, issued on Oct 21, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Dewey, AZ. The record was last updated on May 16, 2022.