Individual
MRS. DIANE T FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1010 W LEHIGH AVE, PHILADELPHIA, PA 19133-1640
(267) 273-7000
Mailing address
601 TAYLOR ST, NASHVILLE, TN 37208-2635
(270) 999-2731
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP015164
PA
Other
Enumeration date
09/09/2015
Last updated
05/21/2024
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