Stephanie G Fredericks, PA-C
Physician Assistant, Medical in Waterbury, Connecticut
1326546862- Practice location
- 56 Franklin St, Waterbury, CT 06706-1253
- Phone
- 203-709-6000
- Fax
- —
- Last updated
- August 25, 2022
Stephanie Grace Dibble Fredericks is a Physician Assistant, Medical based in Waterbury, CT. Stephanie Grace Dibble Fredericks practices in Waterbury, CT and has the professional credentials of PA-C. The NPI Number for Stephanie Grace Dibble Fredericks is 1326546862. The current practice location address for Stephanie Grace Dibble Fredericks is 56 Franklin St, Waterbury, CT 06706-1253 and can be reached out via phone at 203-709-6000.
Provider Profile Details
- NPI Number
- 1326546862
- Provider Name
- Stephanie Grace Dibble Fredericks
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 56 Franklin St, Waterbury, CT 06706-1253
- Phone Number
- 203-709-6000
- Primary Taxonomy
- Physician Assistant, Medical · 363AM0700X
- Sole Proprietor
- No
- Other Names
- Stephanie Grace Dibble, PA-C (Former Name)
- Provider Enumeration Date
- January 30, 2018
- Last Update Date
- August 25, 2022
- Certification Date
- August 25, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 56 Franklin St
Waterbury, CT 06706-1253 - City
- Waterbury
- State
- Connecticut
- Zip
- 06706-1253
- Phone Number
- 203-709-6000
Provider Business Mailing Address Details
- Address
- 1336 Peck Lane
Cheshire, CT 06410 - City
- Cheshire
- State
- CT
- Zip
- 06410
- Phone Number
- 203-233-4658
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- Taxonomy (2)
- Physician Assistant, Medical · 363AM0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Medical providers near Waterbury, CT
View all Physician Assistant, Medical providers in Waterbury →- Denisse Burgos-JimenezPhysician Assistant, Medical · NPI 1013455351
- Dylan Stempel, PA-CPhysician Assistant, Medical · NPI 1053813220
- James R Gerace, PAPhysician Assistant, Medical · NPI 1508887936
- Kaitlyn Jennings, PA-CPhysician Assistant, Medical · NPI 1902255086
- Kalin HaleyPhysician Assistant, Medical · NPI 1245613199
- Kayla N St Hilaire, PAPhysician Assistant, Medical · NPI 1538617204
Frequently Asked Questions
What is the NPI number of Stephanie G Fredericks, PA-C?
The NPI number of Stephanie G Fredericks, PA-C is 1326546862. It was assigned on January 30, 2018 and is currently active in the NPPES registry.
What is the specialty of Stephanie G Fredericks, PA-C?
Stephanie G Fredericks, PA-C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X).
Where does Stephanie G Fredericks, PA-C practice?
The practice location is 56 Franklin St, Waterbury, CT 06706-1253. The office can be reached at 203-709-6000 (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 1326546862 directly on the NPPES registry website.