Frederiksen, Nicholas Henry

Frederiksen, Nicholas Henry is an individual health care provider with primary practice located at 3000 32Nd Ave S , Fargo ND 58103-6132. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Frederiksen, Nicholas Henry can be contacted via phone (701) 364-8000.

Contact Information

Primary practice address
3000 32Nd Ave S Fargo ND 58103-6132
Phone: (701) 364-8000
Fax: (701) 364-8078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X R41352 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X R41352 North Dakota

Profile Details

NPI number 1013319334
LBN Legal business name Frederiksen, Nicholas Henry
Credentials APRN,CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2014
Last updated Dec 28th, 2015 - about 9 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 1013319334 NPPES
North Dakota MEDICAID 1463647

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