MS. ANNMARIE FREDERICKS N.P.
NPI 1366458424
Nurse Practitioner - Adult Health in Brockton, MA
Active since July 31, 2006
About Ms. Annmarie Fredericks N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ANNMARIE FREDERICKS N.P. (NPI 1366458424) is an individual adult health provider in Brockton, Massachusetts, licensed in Massachusetts (173013) and active in the NPI registry since July 2006.
NPPES Registry Identity
NPI1366458424
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. ANNMARIE FREDERICKSCredential: N.P.
Location Address940 BELMONT STBrockton, MA 02301-5596
Mailing Address32 Dalton RdHolbrook, MA 02343-1013 · (774) 826-2889 · Fax (774) 826-2014
Phone(774) 826-2889
Fax(774) 826-2014
Sole ProprietorYes
Enumeration DateJuly 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1366458424 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MA · 173013
940 BELMONT ST, Brockton, MA 02301
Other Names 1
Professional Name (2)Ms. Annmarie Fredericks Msn, Mpa/h
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Nurse Practitioner (Primary Care)
940 BELMONT ST
BROCKTON, MA 02301
BROCKTON, MA 02301
Nurse Practitioner (Adult Health)
940 BELMONT ST, PRIMARY CARE CLINIC (11A)
BROCKTON, MA 02301
BROCKTON, MA 02301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366458424, enumerated as an "individual" on July 31, 2006.
The provider is located at 940 BELMONT ST BROCKTON, MA 02301 and the phone number is (774) 826-2889.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
