MR. Douglas E Frederick, ARNP

NPI #1174528053 in Wichita, Kansas

Provider Information

NPI Number
1174528053
Entity Type
Individual
Name
MR. Douglas E Frederick, ARNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
ARNP
Enumeration Date
Jun 16, 2005
Last Updated
May 19, 2014

Practice Location

Address
1947 N FOUNDERS CIR
State
Kansas
ZIP Code
67206-3548
Phone
(316) 613-4640

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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