Individual
MS. MARGO BADMAN FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, ARNP
Contact information
Practice address
825 EASTLAKE AVE E, SEATTLE, WA 98109-4405
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60845692
WA
363L00000X
Nurse Practitioner
Primary
AP60854665
WA
363LF0000X
Family Nurse Practitioner
AP60854665
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508311853
—
WA
Enumeration date
08/16/2016
Last updated
02/27/2023
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