MRS. Katie Lee Frederickson, FNP-BC
NPI #1104237544 in Camarillo, California
Provider Information
- NPI Number
- 1104237544
- Entity Type
- Individual
- Name
- MRS. Katie Lee Frederickson, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP-BC
- Enumeration Date
- May 19, 2014
- Last Updated
- May 19, 2014
Practice Location
- Address
- 2438 N PONDEROSA DR
- Address 2
- C-105
- City
- Camarillo
- State
- California
- ZIP Code
- 93010-2369
- Phone
- (805) 388-2068
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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