Anita Lynn Frederick, RN
Individual provider Active NPI Home Health Registered Nurse · Mason, WI
NPI 1194780288 · NPPES record last updated Apr 8, 2008
Key facts
- NPI
- 1194780288
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 160826-030 (WI)
- Practice address
- 29250 County Hwy E
Mason, WI 54856-1072 - Phone
- (715) 765-4791
- NPI assigned
- Apr 20, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160826-030 | WI | MD | Home Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huerta and Frederick Medical Corporation | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 160826-030 | WI | Yes |
Addresses
Primary practice location
29250 County Hwy E
Mason, WI 54856-1072
Mailing address
4736 Waisanen Rd
Embarrass, MN 55732-8346
Phone (218) 780-3164
Other providers in Mason, WI
- Community Birth Group
- Britton Sonia Leiter Doolittle
- Jane Zenaida Glasgow
- Doris Ann Habas
- Hometown Superior Therapy LLC
- Savita L Jones
- Mason Area Ambulance Service
All providers in Mason, WI · Home Health Registered Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.