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Individual

MEGAN FREDERICKSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
121 WASHINGTON AVE N FL 2, MINNEAPOLIS, MN 55401-2503
(888) 731-8994
Mailing address
121 WASHINGTON AVE N FL 2, MINNEAPOLIS, MN 55401-2503

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
CNP 4662
MN
363LW0102X
Women's Health Nurse Practitioner
TPAN2988
FL

Other

Enumeration date
07/20/2016
Last updated
08/26/2025
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