Individual
MRS. LINDSAY FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP
Contact information
Practice address
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945-8524
(530) 274-9762
(866) 329-5646
Mailing address
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945-8524
(530) 274-9762
(866) 329-5646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201505278RN
OR
363LP0200X
Pediatric Nurse Practitioner
Primary
202010177NP-PP
OR
Other
Enumeration date
06/02/2015
Last updated
01/14/2022
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