Organization
NANCY FREDERIC , NP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY FREDERIC NP (NURSE PRACTITIONER)
(917) 239-9589
Entity
Organization
Contact information
Practice address
28 VALLEY RD, MONTCLAIR, NJ 07042-2709
(973) 587-2435
Mailing address
28 VALLEY RD, MONTCLAIR, NJ 07042-2709
(973) 587-2435
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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