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Contact Information

TAYLOR FREDRICKSON, PA-C
333 SMITH AVE N
SAINT PAUL, MN55102-2344
 Phone: 651-241-8755
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for TAYLOR FREDRICKSON · (Female)

NPI Number 1942889225
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 04/05/2021
Last updated 11/02/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 13674
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
  • UNITED HOSPITAL - (Acute Care)
    333 NORTH SMITH AVENUE
    SAINT PAUL, MN 55102
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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