EMILY MARIA FREDERICKS

CHESTERTON, IN
NPI1447930623
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: IN  71014132A)
Enumeration Date2023-07-21
Last Update Date2023-07-21
Business Address
EMILY MARIA FREDERICKS CPNP
801 BROADWAY
CHESTERTON, IN 46304-2230
Phone number: 219-763-8112
Mailing Address
EMILY MARIA FREDERICKS CPNP
6050 STERLING CREEK RD
PORTAGE, IN 46368-7752
Phone number: 219-763-8112
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