MARJORY FREDERIC RN NPI 1871294447

NPI Information

NPI: 1871294447
Provider Name: MARJORY FREDERIC, RN
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
4315 N RANCHO DR STE 110
LAS VEGAS, NV
ZIP 89130
Phone: (702) 444-0768
Get Directions

Marjory Frederic, RN is a psychiatric/mental health nurse practitioner in Las Vegas, NV. Marjory Frederic, RN NPI is 1871294447. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4315 N RANCHO DR STE 110
LAS VEGAS, NV
ZIP 89130-437
Phone: (702) 444-0768

The enumeration date for this NPI number is 3/13/2023 and was last updated on 10/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0400X	Registered Nurse	Case Management	RN78446	NEVADA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	871409	NEVADA	Yes
3	163W00000X	Registered Nurse		RN78446	NEVADA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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