Individual
DEBRA ANNE WALKER FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
5705 W BROOKDALE DR, RENO, NV 89523-2279
(775) 747-5050
Mailing address
PO BOX 33190, RENO, NV 89533-3190
(775) 747-5050
(775) 747-5005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10811
NV
163WP0808X
Psychiatric/Mental Health Registered Nurse
10811
NV
364S00000X
Clinical Nurse Specialist
Primary
APN000640
NV
364SP0810X
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
APN000640
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000640
APN
NV
01
—
10811
RN
NV
05
—
1609854967
—
NV
Enumeration date
01/06/2006
Last updated
08/30/2024
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