IndividualActive
Annette Frederick
NPI 1164931689 · Gerontology Nurse Practitioner · Bethlehem, PA
Provider details
- NPI number
- 1164931689
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- TGRN035281 (PA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
153 Brodhead Rd
Bethlehem, PA 18017-8931
Phone: (484) 526-7035
Approximate (ZIP-level) locationGet directions
Mailing address
801 Ostrum St
Bethlehem, PA 18015-1000
Registry dates
- Enumerated
- 2017-09-27
- Last updated
- 2017-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.