Individual
MISS EMILY ELIZABETH FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-PC
Contact information
Practice address
21 BROOK ST, HANSON, MA 02341-1314
(781) 640-4296
Mailing address
21 BROOK ST, HANSON, MA 02341-1314
(781) 640-4296
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2335340
MA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN2335340
MA
Other
Enumeration date
10/11/2020
Last updated
10/14/2020
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