Northern, Frederic W
Northern, Frederic W is an individual health care provider with primary practice located at 707 Paseo De Peralta , Santa Fe NM 87501-1922. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Northern, Frederic W can be contacted via phone (505) 989-8707.Contact Information
Primary practice address
707 Paseo De Peralta
Santa Fe NM 87501-1922
Phone: (505) 989-8707
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2013-0085 | New Mexico |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA2013-0085 | New Mexico |
Profile Details
| NPI number | 1548682842 |
|---|---|
| LBN Legal business name | Northern, Frederic W |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2014 |
| Last updated | Jul 30th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1548682842 | NPPES |
| New Mexico | MEDICAID | N0018092 |
Popular Providers
-
Gibbens, Sheila O'Shea
820 Paseo Deperlta , Santa Fe NM 87501-2233 -
Davis, Julia Christine
707 Paseo De Peralta , Santa Fe NM 87501-1922 -
Bacon, William T
1650 Hospital Dr Ste 500 , Santa Fe NM 87505-4794 -
Galley, Raymond C
1651 Galisteo St Ste 8 , Santa Fe NM 87505-4752 -
Andrew, Bridget Cornell
1035 Alto St La Familia Medical Center, Santa Fe NM 87501-2406 -
Conner, Karen
1691 Galisteo St Suite C, Santa Fe NM 87505-4780 -
Devlin, Lynn A
4730 Beckner Rd , Santa Fe NM 87507-3691 -
Wabick, Emily Catherine
4801 Beckner Rd Level 2 Pod 2 Ste 2650 Obstetrics And Gynecology - Santa Fe, Santa Fe NM 87507-3641