Fredrickson, Lisa Gay

Fredrickson, Lisa Gay is an individual health care provider with primary practice located at 205 South St , Fort Bragg CA 95437-5540. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fredrickson, Lisa Gay can be contacted via phone (707) 961-1251.

Contact Information

Primary practice address
205 South St Fort Bragg CA 95437-5540
Phone: (707) 961-1251
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 806740 California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 95026356 California

Profile Details

NPI number 1932533924
LBN Legal business name Fredrickson, Lisa Gay
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2013
Last updated Nov 18th, 2023 - 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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