Individual
DR. NICOLE LEA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN,ACCNS-AG
Contact information
Practice address
2001 THISTLE PARK DR APT 5105, FORT WORTH, TX 76110-1651
(817) 907-6953
Mailing address
2001 THISTLE PARK DR APT 5105, FORT WORTH, TX 76110-1651
(817) 907-6953
Taxonomy
Speciality
Code
Description
License number
State
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
Primary
31465
TX
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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