Individual
HANNAH E FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
550 UNIVERSITY BLVD, STE 1295, INDIANAPOLIS, IN 46202-5149
(317) 944-9400
(317) 963-1955
Mailing address
550 UNIVERSITY BLVD, STE 1295, INDIANAPOLIS, IN 46202-5149
(317) 944-9400
(317) 963-1955
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704312281
MI
363LF0000X
Family Nurse Practitioner
4704312281
MI
363LF0000X
Family Nurse Practitioner
Primary
71006439A
IN
Other
Enumeration date
01/22/2016
Last updated
12/30/2016
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