Individual
CARRIE ANNA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202-2877
(502) 587-4011
Mailing address
441 SWING LN, LOUISVILLE, KY 40207-1445
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
3003832
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78012739
—
KY
01
—
K032392
MEDICARE PTAN
—
Enumeration date
03/16/2007
Last updated
03/19/2025
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