Individual
RACHEL LYNN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2610 NORTHRIDGE PKWY STE 103, AMES, IA 50010-4088
(515) 789-3530
Mailing address
642 XAVIER PL, AMES, IA 50014-2676
(515) 686-9231
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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