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

LISA GAY FREDRICKSON, FNP

Active

LISA GAY FREDRICKSON, FNP is a Family Nurse Practitioner healthcare provider located in FORT BRAGG, California. NPI 1932533924 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · FORT BRAGG, CA

Registration Details

NPI Number
1932533924
Provider Type
Individual
Gender
Female
NPI Issued
Aug 26, 2013 (12.784933084869 yrs)
Last Updated
Nov 18, 2023
Licenses
806740 (CA)
95026356 (CA)

Practice Information

Address
205 SOUTH ST
FORT BRAGG, CA, 954375540
Browse CA providers · Browse ZIP 95437
Phone
7079611251
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in FORT BRAGG, CA

Name Credential NPI
TERESA ANN MCDONALD FNP 1821199332
MS. ANN KATHLEEN JAMGOCHIAN FNP 1295873941
LINNEA MARIE MATTHEWS FNP 1417174756
MISS JOANNE LOUISE PATTERSON FNP 1457516510
MRS. MICHELE MARIE TELLIER FNP 1295961837
SUZANNE H. HEWITT FNP 1528392743
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.