Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMY D FREDRICKSON, L.M.P.
Active Sole ProprietorAMY D FREDRICKSON, L.M.P. is a Contractor healthcare provider located in DES MOINES, Washington. NPI 1528507357 is currently active in the NPPES registry. Verify at CMS.
Contractor · DES MOINES, WA
Registration Details
- NPI Number
- 1528507357
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2017 (9.5213109638577 yrs)
- Last Updated
- Feb 13, 2017
- License
-
MA60722244 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1208 S 216TH STAPT 103DDES MOINES, WA, 981988363Browse WA providers · Browse ZIP 98198
- Phone
- 9077382116
- Primary Specialty
-
Contractor
171W00000X
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.