Search › New Jersey › 164W00000X
Shanda Frederick, LPN
NPI 1538444989 · on the registry since 2011 · sole proprietor
Practice
- Address
- 633 S 19th St
1st Fl
Newark, NJ 07103 - Phone
- (862) 576-7768
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2011-10-17
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 New Jersey