Frederick, Maddie Marie

Frederick, Maddie Marie is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Frederick, Maddie Marie can be contacted via phone (612) 365-1000.

Contact Information

Primary practice address
2450 Riverside Ave Minneapolis MN 55454-1450
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 9416 Minnesota

Profile Details

NPI number 1760100424
LBN Legal business name Frederick, Maddie Marie
Credentials DNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2022
Last updated Aug 18th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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