Gloria Fredericks CRNP

NPI 1386898013 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1386898013
Gender Female
Enumeration Date 11/07/2008
Last Updated 01/31/2013
Entity Type Individual
Active Over 8 years ago
Practice Location
255 W LANCASTER AVE
PAOLI MEDICAL BUILDING 3 SUITE 234
PAOLI PA, 19301-1763, US
Phone (610) 647-4260
Fax (610) 647-7430
Business Location
207 N BROAD ST
3RD FLOOR
PHILADELPHIA PA, 19107-1500, US
Phone (267) 479-4165
Fax (215) 463-3820
Toxanomy
Taxonomy Code 363L00000X
License State Pennsylvania
License Number SP007210
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According to our database, Gloria Fredericks CRNP NPI is 1386898013, taxonomy code is 363L00000X and license number is SP007210, license state is located at Pennsylvania. Gloria Fredericks CRNP physically located at 255 W Lancaster Ave, Paoli PA, 19301-1763. NPI Number Gloria Fredericks CRNP has the Individual type.

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1386898013 NPI number is provided on an as is basis without warranty of any kind. 1386898013 is maintained by the National Plan & Provider Enumeration System. The contents of Gloria Fredericks CRNP are for informational purposes only.