Individual
JULIE L FREDERIKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4024 OLEANDER DR STE 101, WILMINGTON, NC 28403-6814
(910) 762-2270
(910) 444-3296
Mailing address
4024 OLEANDER DR STE 101, WILMINGTON, NC 28403-6814
(910) 762-2270
(910) 444-3296
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
115193
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00042707
RAILROAD MEDICARE
NC
Enumeration date
01/02/2007
Last updated
09/28/2022
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