Whalio Doctors

NPI 1013319334

Nicholas Henry Frederiksen, APRNCNP

Practitioner Adult Health Nurse Practitioner Fargo, ND

Practice location

Address
3000 32nd Ave S, Fargo, ND 58103-6132
Phone
(701) 364-8000
Fax
(701) 364-8078
Mailing address
PO Box 6001, Fargo, ND 58108-6001

Registered specialties (2)

Adult Health Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LA2200X Licence R41352 (ND)
Gerontology Nurse Practitioner
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LG0600X Licence R41352 (ND)

Registry record

NPI
1013319334
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Sep 2014
Record last updated
28 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.