Individual
RACHEL LYNN FREDERICK
Active
Individual
RACHEL LYNN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002308
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002308
IOWA LICENSE
IA
Enumeration date
07/16/2012
Last updated
05/29/2025
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