NANCY FREDERIC NP NPI 1063716769

NPI Information

NPI: 1063716769
Provider Name: NANCY FREDERIC, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
75 CRESTMONT RD
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 325-0805
Get Directions

Nancy Frederic, NP is a psychiatric/mental health nurse practitioner in West Orange, NJ. Nancy Frederic, NP NPI is 1063716769. 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:

75 CRESTMONT RD
WEST ORANGE, NJ
ZIP 07052-626
Phone: (973) 325-0805

The NPI 1063716769 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2011 and was last updated on 1/27/2022.

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	163W00000X	Registered Nurse		581305	NEW YORK	No
2	163W00000X	Registered Nurse		26NR17113600	NEW JERSEY	No
3	363LA2100X	Nurse Practitioner	Acute Care	430774	NEW YORK	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	26NJ00512000	NEW JERSEY	Yes

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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