Wellformed AI

NPI 1255678520 · live from the CMS NPI Registry

Lindsey Marie Fredericksen, A.R.N.P

Nurse Practitioner, Pediatrics in Waukee, IA. National Provider Identifier 1255678520, active.

NPI record

NPI1255678520 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location40 E Hickman Rd, Waukee, IA 50263
Practice phone515-987-6610
EnumeratedJanuary 7, 2013
Last updatedJanuary 20, 2014
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics primary363LP0200XC-119097 (IA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.