Individual
SHELBY FREDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CPNP-PC
Contact information
Practice address
1205 S MISSION ST STE 4, MOUNT PLEASANT, MI 48858-3939
(989) 400-4369
Mailing address
1205 S MISSION ST STE 4, MOUNT PLEASANT, MI 48858-3939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704307444
MI
Other
Enumeration date
06/29/2018
Last updated
07/05/2019
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