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Emily Maria Fredericks, CPNP
Pediatric Nurse Practitioner in Chesterton, Indiana
NPI 1447930623

Emily Maria Fredericks is a Pediatric Nurse Practitioner based in Portage, IN and is specialized in Pediatrics. Emily Maria Fredericks practices in Chesterton, IN and has the professional credentials of CPNP. The NPI Number for Emily Maria Fredericks is 1447930623 and holds a License No. 71014132A (Indiana).

The current practice location address for Emily Maria Fredericks is 801 Broadway, Chesterton, IN and can be reached out via phone at 219-763-8112.

Location: 801 Broadway, Chesterton, IN, 46368-7752
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447930623
Provider Name
Emily Maria Fredericks
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
801 Broadway, Chesterton, IN, 46368-7752
Phone Number
219-763-8112
Fax Number
Provider Enumeration Date
07/21/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 Broadway
City
Chesterton
State
Indiana
Zip
46304-2230
Phone Number
219-763-8112
Fax Number
person
Provider Business Mailing Address Details
Address
801 Broadway
City
Chesterton
State
Indiana
Zip
46304-2230
Phone Number
219-763-8112
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
363LP0200X
License No.
71014132A (Indiana)
Definition
Definition to come...
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