Individual
MADDIE MARIE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-1000
Mailing address
500 W FRANKLIN AVE APT 103, MINNEAPOLIS, MN 55405-3654
(605) 848-1047
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
9416
MN
Other
Enumeration date
08/18/2022
Last updated
08/18/2022
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