Individual
MRS. CATHERINE MARIE MARTIN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1508 W 22ND ST STE 101, SIOUX FALLS, SD 57105-1514
(605) 328-3840
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CP000522
SD
363LA2100X
Acute Care Nurse Practitioner
CP000522
SD
Other
Enumeration date
06/04/2009
Last updated
05/14/2024
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