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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LISELLE FREDERICK, LPN

Active Sole Proprietor

LISELLE FREDERICK, LPN is a General Practice Nurse healthcare provider located in NORTH BALDWIN, New York. NPI 1023642808 is currently active in the NPPES registry. Verify at CMS.

General Practice Nurse · NORTH BALDWIN, NY

Registration Details

NPI Number
1023642808
Provider Type
Individual
Gender
Female
NPI Issued
Mar 2, 2020 (6.474046789227 yrs)
Last Updated
Mar 2, 2020
License
768654-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
1160 HICKS PL
NORTH BALDWIN, NY, 115101116
Browse NY providers · Browse ZIP 11510
Phone
5167651449
Primary Specialty
General Practice Nurse
163WG0000X

Other General Practice Nurse Providers in NORTH BALDWIN, NY

Name Credential NPI
MS. SUZANNE GABLER RN 1568817484
SHUKURAT AA ARIJE RN 1811603517
CAMIELE MELISA WARD RN 1134993546
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.