Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE GRACE DIBBLE FREDERICKS, PA-C
ActiveSTEPHANIE GRACE DIBBLE FREDERICKS, PA-C is a Medical Physician Assistant healthcare provider located in WATERBURY, Connecticut. NPI 1326546862 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WATERBURY, CT
Registration Details
- NPI Number
- 1326546862
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 30, 2018 (8.5209199822079 yrs)
- Last Updated
- Aug 25, 2022
Practice Information
- Address
-
56 FRANKLIN STWATERBURY, CT, 067061253Browse CT providers · Browse ZIP 06706
- Phone
- 2037096000
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in WATERBURY, CT
| Name | Credential | NPI |
|---|---|---|
| ROSS G UTTER | PA | 1831156249 |
| MR. RICHARD POPE | PA-C | 1114985728 |
| JOHN LUM | PA-C | 1528016441 |
| MICHELLE MARIE LACHANCE | PA | 1154357671 |
| MR. RONALD A FOX | PA-C | 1922036821 |
| ANGELA M BARROWS | PA | 1356370662 |
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.