Individual
MR. RYAN TIMOTHY FREDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9170 JACARANDA WAY, GILROY, CA 95020-7417
(408) 607-0263
Mailing address
9170 JACARANDA WAY, GILROY, CA 95020-7417
(408) 607-0263
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95135050
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001662
CA
Other
Enumeration date
08/06/2019
Last updated
04/08/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us