SAMANTHA LYNNE FREDRICKSON

FORT WAYNE, IN
NPI1659008670
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71012743A)
Enumeration Date2022-08-01
Last Update Date2022-08-01
Business Address
SAMANTHA LYNNE FREDRICKSON FNP
2100 GOSHEN RD
FORT WAYNE, IN 46808-1493
Phone number: 260-471-3500
Mailing Address
SAMANTHA LYNNE FREDRICKSON FNP
1211 ALMDALE DR
FORT WAYNE, IN 46818-8429
Phone number: 260-358-7721
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