Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TAMARA FREDRICKSON
Active Sole ProprietorTAMARA FREDRICKSON is a Family Nurse Practitioner healthcare provider located in BOISE, Idaho. NPI 1336471911 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · BOISE, ID
Registration Details
- NPI Number
- 1336471911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 5, 2010 (16.496465703327 yrs)
- Last Updated
- Feb 5, 2010
- License
-
NP-319A (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
8169 W VICTORY RDBOISE, ID, 837094164Browse ID providers · Browse ZIP 83709
- Phone
- 2088544173
- Fax
- 2088544012
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in BOISE, ID
| Name | Credential | NPI |
|---|---|---|
| JUNE REILING | CNP | 1730182205 |
| MRS. VERLENE DONITA KAISER | RN, FNP | 1851394282 |
| MRS. MYRNA CLARE FISHER | APPN | 1306839741 |
| HEIDI S PETERS | NP | 1447246905 |
| ELIZABETH J STAMPER | ARNP | 1366425621 |
| MS. JUDITH M PERRY | NP | 1114901006 |
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.