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GLORIA FREDERICKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
255 W LANCASTER AVE, PAOLI MEDICAL BUILDING 3 SUITE 234, PAOLI, PA 19301-1763
(610) 647-4260
(610) 647-7430
Mailing address
207 N BROAD ST, 3RD FLOOR, PHILADELPHIA, PA 19107-1500
(267) 479-4165
(215) 463-3820

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP007210
PA

Other

Enumeration date
11/07/2008
Last updated
01/31/2013
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