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Individual

CHRISTINE FREDRICKSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
201 E SAMPLE RD, DEERFIELD BEACH, FL 33064-3502
(954) 786-6950
Mailing address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209004116
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11042094
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
201141
PROVIDER NUMBER
IL
Enumeration date
08/08/2006
Last updated
09/26/2025
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