Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICOLE LEA FREDERICK, DNP, APRN,ACCNS-AG
ActiveCritical Care Clinical Nurse Specialist · FORT WORTH, TX
Registration Details
- NPI Number
- 1033768866
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 4, 2019 (6.6461884879275 yrs)
- Last Updated
- Sep 4, 2019
- License
-
31465 (TX)
Practice Information
- Address
-
2001 THISTLE PARK DR APT 5105FORT WORTH, TX, 761101651Browse TX providers · Browse ZIP 76110
- Phone
- 8179076953
- Primary Specialty
-
Critical Care Clinical Nurse Specialist
364SC0200X
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.