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Shanda Nicole Frederick, LPN
Licensed Practical Nurse in Newark, New Jersey
NPI 1538444989

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 (New Jersey).

The current practice location address for Shanda Nicole Frederick is 633 S 19Th St, Newark, NJ and can be reached out via phone at 862-576-7768.

Location: 633 S 19Th St, Newark, NJ, 07103-1116
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538444989
Provider Name
Shanda Nicole Frederick
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
633 S 19Th St, Newark, NJ, 07103-1116
Phone Number
862-576-7768
Fax Number
Provider Enumeration Date
10/17/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
633 S 19Th St
City
Newark
State
New Jersey
Zip
07103-1116
Phone Number
862-576-7768
Fax Number
person
Provider Business Mailing Address Details
Address
633 S 19Th St
City
Newark
State
New Jersey
Zip
07103-1116
Phone Number
862-576-7768
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
26NP06593200 (New Jersey)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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