Individual
ELIZABETH RAE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 BLAIR MILL RD, HORSHAM, PA 19044-2223
(724) 544-3424
Mailing address
102 SHIPLEY LN, MOUNT PLEASANT, PA 15666-3521
(724) 544-3424
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP020656
PA
Other
Enumeration date
08/24/2019
Last updated
08/29/2019
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