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

EMILY MARIA FREDERICKS, CPNP

Active Sole Proprietor

EMILY MARIA FREDERICKS, CPNP is a Pediatric Nurse Practitioner healthcare provider located in CHESTERTON, Indiana. NPI 1447930623 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · CHESTERTON, IN

Registration Details

NPI Number
1447930623
Provider Type
Individual
Gender
Female
NPI Issued
Jul 21, 2023 (3.0249647702054 yrs)
Last Updated
Jul 21, 2023
License
71014132A (IN)
Sole Proprietor
Yes

Practice Information

Address
801 BROADWAY
CHESTERTON, IN, 463042230
Browse IN providers · Browse ZIP 46304
Phone
2197638112
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
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.