Individual
RIAN FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
528 N 1000 E, SPANISH FORK, UT 84660-1645
(509) 528-4072
Mailing address
528 N 1000 E, SPANISH FORK, UT 84660-1645
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
117376274405
UT
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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