Individual
ERIKA FREDERKING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2900 MEDICAL CENTER PKWY STE 380, BENTONVILLE, AR 72712-3214
(757) 218-6367
Mailing address
1421 ABBEY LN, CENTERTON, AR 72719-6501
(757) 218-6367
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
224562
AR
Other
Enumeration date
05/31/2023
Last updated
11/06/2023
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