Fredrickson, Elaine M

Fredrickson, Elaine M is an individual health care provider with primary practice located at 4700 N Congress Ave Ste 103, West Palm Beach FL 33407-3284. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fredrickson, Elaine M can be contacted via phone (561) 255-3131.

Contact Information

Primary practice address
4700 N Congress Ave Ste 103 West Palm Beach FL 33407-3284
Phone: (561) 255-3131
Fax: (855) 346-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ARNP9186537 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3014562 Kentucky

Profile Details

NPI number 1972564433
LBN Legal business name Fredrickson, Elaine M
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated May 23rd, 2022 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972564433 NPPES
Kentucky MEDICAID 7100814330

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