IndividualActive
Barry Frederick, PA-C, MPAS, RN, BSN
NPI 1285601740 · Medical Physician Assistant · Slidell, LA
Provider details
- NPI number
- 1285601740
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C, MPAS, RN, BSN
- Sex
- Male
- Sole proprietor
- No
- License
- A10586 (LA)
Practice location
1150 Robert Blvd Ste 240
Slidell, LA 70458-2005
Phone: (985) 646-3662
Fax: (985) 646-3691
Mailing address
1001 Gause Blvd # 75
Slidell, LA 70458-2939
Registry dates
- Enumerated
- 2006-03-03
- Last updated
- 2020-04-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.