Active NPIIndividual providerSole proprietor

Susan A Fredrickson, RN, MSN, CS

Clinical Nurse Specialist, Psych/Mental Health, Adult in Brewster, Massachusetts

NPI Number1083818991
Practice location
23-25 Bay State Court, Brewster, MA 02631
Fax
508-240-5448
Last updated
March 1, 2010

Susan Anthony Fredrickson is a Clinical Nurse Specialist, Psych/Mental Health, Adult based in Brewster, MA. Susan Anthony Fredrickson practices in Brewster, MA and has the professional credentials of RN, MSN, CS. The NPI Number for Susan Anthony Fredrickson is 1083818991 and holds a License No. 277918 (MA). The current practice location address for Susan Anthony Fredrickson is 23-25 Bay State Court, Brewster, MA 02631 and can be reached out via phone at 508-240-7964 and via fax at 508-240-5448.

Provider Profile Details

NPI Number
1083818991
Provider Name
Susan Anthony Fredrickson
Credential
RN, MSN, CS
Provider Entity Type
Individual
Gender
Female
Address
23-25 Bay State Court, Brewster, MA 02631
Phone Number
508-240-7964
Fax Number
508-240-5448
Sole Proprietor
Yes
Provider Enumeration Date
June 13, 2007
Last Update Date
March 1, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
23-25 Bay State Court
Brewster, MA 02631
Zip
02631
Phone Number
508-240-7964
Fax Number
508-240-5448
Brewster, MA 02631Get directions →

Provider Business Mailing Address Details

Address
23-25 Bay State Court
Brewster, MA 02631
City
Brewster
State
MA
Zip
02631
Phone Number
508-240-7964
Fax Number
508-240-5448

License Information

License Number
277918
License State
MA

Legacy Identifiers

IdentifierTypeStateIssuer
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 Susan A Fredrickson, RN, MSN, CS?

The NPI number of Susan A Fredrickson, RN, MSN, CS is 1083818991. It was assigned on June 13, 2007 and is currently active in the NPPES registry.

What is the specialty of Susan A Fredrickson, RN, MSN, CS?

Susan A Fredrickson, RN, MSN, CS is registered under the primary taxonomy Clinical Nurse Specialist, Psych/Mental Health, Adult (code 364SP0809X), licensed in MA under license number 277918.

Where does Susan A Fredrickson, RN, MSN, CS practice?

The practice location is 23-25 Bay State Court, Brewster, MA 02631. The office can be reached at 508-240-7964 (phone) or 508-240-5448 (fax).

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 1083818991 directly on the NPPES registry website.

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