Nicholas Fredricks

NPI 1447084959 · on the registry since 2024

Practice

Address: 555 E Broadway Ave Ste 218
Jackson, WY 83001
Phone: (307) 739-4818
Organisation at this address: Hole Ortho Llc
Karin L Klee Md
Teton Pediatrics Pc
Mountain Therapy Pllc
Family First Health Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 66

Registry record

Primary taxonomy: 163WP0807X
163WP0807X
Licence states on file: WY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-08-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming