Individual
MISS ANITA LYNN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
29250 COUNTY HWY E, MASON, WI 54856-1072
(715) 765-4791
Mailing address
4736 WAISANEN RD, EMBARRASS, MN 55732-8346
(218) 780-3164
(218) 984-3603
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
160826-030
WI
Other
Enumeration date
04/20/2006
Last updated
04/08/2008
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