TONYA FREDERICK, RN, FNP, Family FORT WORTH, TX

Contact Information

TONYA FREDERICK, RN, FNP

855 MONTGOMERY ST
FORT WORTH, TX 76107-2553

Phone: 817-735-2228
Fax: 817-735-2582
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Family	363LF0000X	50	Nurse Practitioner
Registered Nurse	163W00000X

Indicates primary specialty

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NPI Profile & details for TONYA FREDERICK · (Female)

NPI Number	`1619451697`
Status	Active
Credentials	RN, FNP
Entity	Individual
Enumeration date	09/17/2018
Last updated	09/18/2023 - About 3 years ago
Sole proprietor ¹	No
Identifiers	OR License # 202100811RN OR License # 202100983NP-PP TX License # 1118906 OR Other 202100983NP-PP FNP/PRESRIBER OR Other 202100811RN RN LICENSE TX Other 1118906 CERTIFIED NURSE PRACTITIONER TX Other 1118906 REGISTERED NURSE
Hospital affiliation(s)	COLUMBIA MEMORIAL HOSPITAL - (Critical Access) 2111 EXCHANGE STREET ASTORIA, OR 97103

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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