Individual
REBECCA FREDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
404 BRUNN SCHOOL RD STE C, SANTA FE, NM 87505-1102
(505) 699-4187
Mailing address
404 BRUNN SCHOOL RD STE C, SANTA FE, NM 87505-1102
(505) 699-4187
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
61681
NM
Other
Enumeration date
07/07/2017
Last updated
10/17/2024
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