Individual
MS. ANNMARIE FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
940 BELMONT ST, BROCKTON, MA 02301-5596
(774) 826-2889
(774) 826-2014
Mailing address
32 DALTON RD, HOLBROOK, MA 02343-1013
(774) 826-2889
(774) 826-2014
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
173013
MA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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