Individual provider · Type 1 NPI

Mary Frederick, LPN

Licensed Practical Nurse · New Port Richey, FL

NPI number 1992570832 Active

Practice location

4041 Rowan Rd
New Port Richey, FL 34653-6121

Fax (727) 284-1981

Mailing address

8310 Mill Creek Ln
Hudson, FL 34667-2527

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN5216595 (FL)

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 1992570832

Mary Frederick, LPN's National Provider Identifier is 1992570832, issued on Nov 21, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in New Port Richey, FL. The record was last updated on Nov 21, 2023.