Gloria Fredericks, CRNP
NPI #1386898013 in Paoli, Pennsylvania
Provider Information
- NPI Number
- 1386898013
- Entity Type
- Individual
- Name
- Gloria Fredericks, CRNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- CRNP
- Enumeration Date
- Nov 7, 2008
- Last Updated
- Jan 31, 2013
Practice Location
- Address
- 255 W LANCASTER AVE
- Address 2
- PAOLI MEDICAL BUILDING 3 SUITE 234
- City
- Paoli
- State
- Pennsylvania
- ZIP Code
- 19301-1763
- Phone
- (610) 647-4260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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