# CYNTHIA GAIL FREDERICK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1235475039
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 1-080820 | AL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5022407 | NC | Yes |

## Other

- **Enumeration date:** 12/25/2012
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2009009580 | AMERICAN NURSES CREDENTIALING CENTER | AL |