Nicholas R Fredricks
Nicholas R Fredricks is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Jackson, Wyoming. Licensed in Wyoming. Registered with an NPI since 2024.
- Licensed in
- WY
- In the registry since
- 2024
Practice location Address checks out
555 E Broadway Ave Ste 218Jackson, WY 83001-8640
Phone: (307) 739-4818
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) | Taxonomy 163WP0807X · Licence 47072 (WY) |
|---|
Record details
| NPI number | 1447084959 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 27, 2024 |
| Last updated in NPPES | August 27, 2024 |
| Certification date | August 27, 2024 |