Frederick, Marie Elisabeth

Frederick, Marie Elisabeth is an individual health care provider with primary practice located at 1057 Red Ventures Dr Ste 150 , Fort Mill SC 29707-2518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Frederick, Marie Elisabeth can be contacted via phone (803) 548-3708.

Contact Information

Primary practice address
1057 Red Ventures Dr Ste 150 Fort Mill SC 29707-2518
Fax: (704) 887-6450
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.023784 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26697 South Carolina

Profile Details

NPI number 1750051090
LBN Legal business name Frederick, Marie Elisabeth
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2021
Last updated Oct 18th, 2022 - about 2 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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