Individual
LAURA MICHELLE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5255 MEMPHIS ST UNIT 1109, DENVER, CO 80239-5253
(720) 884-6005
Mailing address
5255 MEMPHIS ST UNIT 1109, DENVER, CO 80239-5253
(720) 884-6005
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0167824
CO
163WC1600X
Continuing Education/Staff Development Registered Nurse
0167824
CO
163WM0102X
Maternal Newborn Registered Nurse
0167824
CO
163WX0003X
Inpatient Obstetric Registered Nurse
0167824
CO
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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