Fredericks, Debra Anne Walker
Fredericks, Debra Anne Walker is an sole proprietor health care provider with primary practice located at 890 Mill Street Suite 305, Reno NV 89502-1442. She recently has 4 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family. Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist is her primary health care specialty. Fredericks, Debra Anne Walker can be contacted via phone (775) 657-8449.Contact Information
Primary practice address
890 Mill Street Suite 305
Reno NV 89502-1442
Phone: (775) 657-8449
Fax: (775) 657-8501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 10811 | Nevada |
| Nursing Service Providers / Psychiatric/Mental Health | 163WP0808X | 10811 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist | 364S00000X | APN000640 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Child & Family | 364SP0810X | APN000640 | Nevada |
Profile Details
| NPI number | 1609854967 |
|---|---|
| LBN Legal business name | Fredericks, Debra Anne Walker |
| Credentials | Advanced Practice Nurse (APN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2006 |
| Last updated | Apr 12th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609854967 | NPPES |
| Nevada | Other | 000640 | APN |
| Nevada | Other | 10811 | APN |
| Nevada | MEDICAID | 1609854967 | APN |
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