Fredrick, Julie R

Fredrick, Julie R is an individual health care provider with primary practice located at 225 Memorial Dr Ste 1200, Berlin WI 54923-1243. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fredrick, Julie R can be contacted via phone (920) 361-5770.

Contact Information

Primary practice address
225 Memorial Dr Ste 1200 Berlin WI 54923-1243
Phone: (920) 361-5770
Fax: (920) 361-5779
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 99850-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1682-033 Wisconsin

Profile Details

NPI number 1932100849
LBN Legal business name Fredrick, Julie R
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2005
Last updated Oct 24th, 2014 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1932100849 NPPES
Wisconsin MEDICAID 43827900

Popular Providers