Individual
ELIZABETH FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 MOREHEAD MEDICAL DR, SUITE 600, CHARLOTTE, NC 28204-2963
(704) 355-8816
Mailing address
1025 MOREHEAD MEDICAL DR, CHARLOTTE, NC 28204-2963
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5009745
NC
Other
Enumeration date
02/23/2007
Last updated
02/12/2019
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