Individual
AMY M FREDERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5555 ARAPAHOE RD, CENTENNIAL, CO 80112
(303) 338-4545
Mailing address
5555 ARAPAHOE RD, CENTENNIAL, CO 80112
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
118817
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016520
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
03/11/2008
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