Lillie Minette Frederick, CRNP

NPI #1467185082 in Madison, Alabama

Provider Information

NPI Number
1467185082
Entity Type
Individual
Name
Lillie Minette Frederick, CRNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner
Credential
CRNP
Enumeration Date
Jul 1, 2022
Last Updated
Jul 1, 2022

Practice Location

Address
300 SUN TEMPLE DR
State
Alabama
ZIP Code
35758-5919
Phone
(256) 325-9111

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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