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RAYNETTE FREDERICKS LPN
NPI 1194547208
Licensed Practical Nurse in Bremerton, WA

Active since October 29, 2024
1520 NE RIDDELL RD # 110, BREMERTON, WA 98310(786) 518-8971 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Raynette Fredericks Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYNETTE FREDERICKS LPN (NPI 1194547208) is an individual licensed practical nurse in Bremerton, Washington, licensed in Florida (PN5173031) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1194547208
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameRAYNETTE FREDERICKSCredential: LPN
Location Address1520 NE RIDDELL RD # 110Bremerton, WA 98310-3005
Mailing Address1970 Ne Fuson Rd Apt 204Bremerton, WA 98311-3739 · (786) 518-8971
Phone(786) 518-8971
Sole ProprietorNo
Enumeration DateOctober 29, 2024
NPPES CertifiedOctober 29, 2024
✔ NPI 1194547208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in FL · PN5173031
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1520 NE RIDDELL RD # 110, Bremerton, WA 98310
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STACEY MORT
Counselor (Addiction (Substance Use Disorder))
1520 NE RIDDELL RD # 110
BREMERTON, WA 98310
Kitsap County (360) 415-5870

Frequently Asked Questions

What is Raynette Fredericks's NPI number?

The NPI number assigned to this healthcare provider is 1194547208, enumerated as an "individual" on October 29, 2024.

Where is the provider located?

The provider is located at 1520 NE RIDDELL RD # 110 BREMERTON, WA 98310 and the phone number is (786) 518-8971.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.