PAULINE FREDERICK FNP NPI 1881853463

NPI Information

NPI: 1881853463
Provider Name: PAULINE FREDERICK, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: LEE MEMORIAL HEALTH SYSTEM

PECOS Registration: Yes

Address:
12600 CREEKSIDE LN STE 6
FORT MYERS, FL
ZIP 33919
Phone: (239) 343-9219
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Pauline Frederick, FNP is a family nurse practitioner in Fort Myers, FL with 17 years of experience. Pauline Frederick, FNP NPI is 1881853463. 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:

12600 CREEKSIDE LN STE 6
FORT MYERS, FL
ZIP 33919-353
Phone: (239) 343-9219
Fax: (239) 343-9218

The NPI 1881853463 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 6/9/2008 and was last updated on 4/9/2021.

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	363LF0000X	Nurse Practitioner	Family	ARNP9446475	FLORIDA	Yes
2	363LF0000X	Nurse Practitioner	Family	5004371	NORTH CAROLINA	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: 11/14/2023

NPI Synchronization or Removal

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