REGINA M FREDERICK

FORT WAYNE, IN
NPI1447731302
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71008494A)
Enumeration Date2018-08-28
Last Update Date2024-12-02
Business Address
REGINA M FREDERICK NP
11143 PARKVIEW PLAZA DR STE 200
FORT WAYNE, IN 46845-1728
Phone number: 260-266-8820
Mailing Address
REGINA M FREDERICK NP
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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