Individual
MS. ARLENE LUCILLE FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP-BC
Contact information
Practice address
150 55TH ST, BROOKLYN, NY 11220-2559
(718) 630-7000
Mailing address
308 TREMONT AVE, EAST ORANGE, NJ 07018-1025
(973) 414-9693
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00227800
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00227800
NJ
363LA2100X
Acute Care Nurse Practitioner
43430502
NY
Other
Enumeration date
01/19/2010
Last updated
03/26/2018
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