Individual
DANA FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, HNB-BC
Contact information
Practice address
616 FRANKLIN ST, STEVENS POINT, WI 54481
(920) 475-2480
Mailing address
616 FRANKLIN ST, STEVENS POINT, WI 54481
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
172064
WI
364SH1100X
Holistic Clinical Nurse Specialist
172064
WI
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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