Shanda N Frederick, LPN
Licensed Practical Nurse in Newark, New Jersey
1538444989- Practice location
- 633 S 19TH St, 1ST Fl, Newark, NJ 07103-1116
- Phone
- 862-576-7768
- Fax
- —
- Last updated
- October 17, 2011
Shanda Nicole Frederick is a Licensed Practical Nurse based in Newark, NJ. Shanda Nicole Frederick practices in Newark, NJ and has the professional credentials of LPN. The NPI Number for Shanda Nicole Frederick is 1538444989 and holds a License No. 26NP06593200 (NJ). The current practice location address for Shanda Nicole Frederick is 633 S 19TH St, 1ST Fl, Newark, NJ 07103-1116 and can be reached out via phone at 862-576-7768.
Provider Profile Details
- NPI Number
- 1538444989
- Provider Name
- Shanda Nicole Frederick
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 633 S 19TH St, 1ST Fl, Newark, NJ 07103-1116
- Phone Number
- 862-576-7768
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 17, 2011
- Last Update Date
- October 17, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 633 S 19TH St
1ST Fl
Newark, NJ 07103-1116 - City
- Newark
- State
- New Jersey
- Zip
- 07103-1116
- Phone Number
- 862-576-7768
Provider Business Mailing Address Details
- Address
- 633 S 19TH St
1ST Fl
Newark, NJ 07103-1116 - City
- Newark
- State
- NJ
- Zip
- 07103-1116
- Phone Number
- 862-576-7768
License Information
- License Number
- 26NP06593200
- License State
- NJ
- Taxonomy
- Licensed Practical Nurse · 164W00000X · 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 Shanda N Frederick, LPN?
The NPI number of Shanda N Frederick, LPN is 1538444989. It was assigned on October 17, 2011 and is currently active in the NPPES registry.
What is the specialty of Shanda N Frederick, LPN?
Shanda N Frederick, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NJ under license number 26NP06593200.
Where does Shanda N Frederick, LPN practice?
The practice location is 633 S 19TH St, 1ST Fl, Newark, NJ 07103-1116. The office can be reached at 862-576-7768 (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 1538444989 directly on the NPPES registry website.