Individual
MS. CECELIA HOPE FREDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, DNSC
Contact information
Practice address
2422 N THOMPSON ST, SUITE A, SPRINGDALE, AR 72764-1757
(479) 750-6566
Mailing address
3486 HEARTHSTONE DR, FAYETTEVILLE, AR 72764-8631
(479) 751-3070
(479) 751-3070
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
A01014ANP
AR
363LF0000X
Family Nurse Practitioner
ANP01014
AR
363LG0600X
Gerontology Nurse Practitioner
Primary
ANP1014
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121418758
—
AR
Enumeration date
10/13/2006
Last updated
08/02/2010
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