Nancy Frederic, NP
Nurse Practitioner, Psych/Mental Health in West Orange, New Jersey
1063716769- Practice location
- 75 Crestmont RD, West Orange, NJ 07052-1626
- Phone
- 973-325-0805
- Fax
- —
- Last updated
- January 27, 2022
Nancy Frederic is a Nurse Practitioner, Psych/Mental Health based in West Orange, NJ. Nancy Frederic practices in West Orange, NJ and has the professional credentials of NP. The NPI Number for Nancy Frederic is 1063716769 and holds a License No. 581305 (NY). The current practice location address for Nancy Frederic is 75 Crestmont RD, West Orange, NJ 07052-1626 and can be reached out via phone at 973-325-0805.
Provider Profile Details
- NPI Number
- 1063716769
- Provider Name
- Nancy Frederic
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 75 Crestmont RD, West Orange, NJ 07052-1626
- Phone Number
- 973-325-0805
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 10, 2011
- Last Update Date
- January 27, 2022
- Certification Date
- January 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 75 Crestmont RD
West Orange, NJ 07052-1626 - City
- West Orange
- State
- New Jersey
- Zip
- 07052-1626
- Phone Number
- 973-325-0805
Provider Business Mailing Address Details
- Address
- 75 Crestmont RD
West Orange, NJ 07052-1626 - City
- West Orange
- State
- NJ
- Zip
- 07052-1626
- Phone Number
- 973-325-0805
License Information
- License Number (1)
- 581305
- License State (1)
- NY
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 26NR17113600
- License State (2)
- NJ
- Taxonomy (2)
- Registered Nurse · 163W00000X
- License Number (3)
- 430774
- License State (3)
- NY
- Taxonomy (3)
- Nurse Practitioner, Acute Care · 363LA2100X
- License Number (4)
- 26NJ00512000
- License State (4)
- NJ
- Taxonomy (4)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Nancy Frederic, NP?
The NPI number of Nancy Frederic, NP is 1063716769. It was assigned on January 10, 2011 and is currently active in the NPPES registry.
What is the specialty of Nancy Frederic, NP?
Nancy Frederic, NP is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NY under license number 581305.
Where does Nancy Frederic, NP practice?
The practice location is 75 Crestmont RD, West Orange, NJ 07052-1626. The office can be reached at 973-325-0805 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063716769 directly on the NPPES registry website.