Nicholas R Fredricks

NPI #1447084959 in Jackson, Wyoming

Provider Information

NPI Number
1447084959
Entity Type
Individual
Name
Nicholas R Fredricks
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Psychiatric/Mental Health, Child & Adolescent
Enumeration Date
Aug 27, 2024
Last Updated
Aug 27, 2024

Practice Location

Address
555 E BROADWAY AVE STE 218
State
Wyoming
ZIP Code
83001-8640
Phone
(307) 739-4818

Specialties & Taxonomy Codes

Specialty
Registered Nurse - Psychiatric/Mental Health, Child & AdolescentPsychiatric/Mental Health, Child & Adolescent

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