| Nicholas R Fredricks, | |
|
555 E Broadway Ave Ste 218, Jackson, WY 83001-8640 | |
| (307) 739-4818 | |
| Not Available |
| Full Name | Nicholas R Fredricks |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health, Child & Adolescent |
| Location | 555 E Broadway Ave Ste 218, Jackson, Wyoming |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447084959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0807X | Registered Nurse - Psychiatric/mental Health, Child & Adolescent | 47072 (Wyoming) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicholas R Fredricks, Po Box 7005, Jackson, WY 83002-7005 Ph: () - | Nicholas R Fredricks, 555 E Broadway Ave Ste 218, Jackson, WY 83001-8640 Ph: (307) 739-4818 |
Leah Nydam, IBCLC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-739-7572 | |
Ms. Mary Jayne Ottman, RN MS Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 70 S Willow St, Jackson, WY 83001 Phone: 307-733-1777 Fax: 307-733-1781 | |
Susanne M Schenk, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway Ave Ste 201, Jackson, WY 83001 Phone: 307-739-7678 Fax: 307-733-9720 | |
Christine Houlton, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 555 E Broadway Ave Ste 220, Jackson, WY 83001 Phone: 307-739-4910 | |
Brittany Hayden Jones, RN, ACNP-BC Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 625 E Broadway Ave, Jackson, WY 83001 Phone: 307-733-3636 Fax: 888-329-5701 | |
Georgina H Mcniff, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3750 S Meadow Dr, Jackson, WY 83001 Phone: 914-439-3811 | |
Ian Barwell, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4585 Fishing Club Dr, Jackson, WY 83001 Phone: 307-690-2609 |