# NANCY FREDERIC , NP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346095700
- **Authorized official:** NANCY FREDERIC NP (NURSE PRACTITIONER)
- **Authorized official phone:** (917) 239-9589

## Contact information

- **Practice address:** 28 VALLEY RD, MONTCLAIR, NJ 07042-2709
- **Practice address phone:** (973) 587-2435
- **Mailing address:** 28 VALLEY RD, MONTCLAIR, NJ 07042-2709
- **Mailing address phone:** (973) 587-2435

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/19/2024
- **Last updated:** 04/19/2024