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Contact Information

DEBRA A FREDERICKS, APN
5705 W BROOKDALE DR
RENO, NV89523-2279
 Phone: 775-747-5050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Nurse Specialist

364S00000X 89 Certified Clinical Nurse Specialist
 

Psychiatric/Mental Health

163WP0808X
 

Psychiatric/Mental Health, Child & Family

364SP0810X 89 Certified Clinical Nurse Specialist
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for DEBRA A FREDERICKS · (Female)

NPI Number 1609854967
Status Active
Credentials APN
Entity Individual
Enumeration date 01/06/2006
Last updated 08/30/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • NV License # 10811
  • NV License # APN000640
  • NV Medicaid 1609854967
  • NV Other 000640 APN
  • NV Other 10811 RN
Hospital affiliation(s)
  • RENOWN REGIONAL MEDICAL CENTER - (Acute Care)
    1155 MILL STREET
    RENO, NV 89502
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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