MA. THERESA CORPUZ FREDRICKSON DNP AGPCNP-BC NPI 1760157234

NPI Information

Ma. Theresa Corpuz Fredrickson, DNP, AGPCNP-BC is a gerontology nurse practitioner in Eau Claire, WI with 3 years of experience. Ma. Theresa Corpuz Fredrickson, DNP, AGPCNP-BC NPI is 1760157234. 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:

900 W CLAIREMONT AVE
EAU CLAIRE, WI
ZIP 54701-122
Phone: (715) 717-1469
Fax: (715) 717-6184

The NPI 1760157234 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 8/16/2021 and was last updated on 11/17/2022.

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:

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