IndividualActive
Annmarie Fredericks, N.P.
NPI 1366458424 · Adult Health Nurse Practitioner · Brockton, MA
Provider details
- NPI number
- 1366458424
- Entity type
- Individual
- Primary specialty
- Adult Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 173013 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
940 Belmont St
Brockton, MA 02301-5596
Phone: (774) 826-2889
Fax: (774) 826-2014
Approximate (ZIP-level) locationGet directions
Mailing address
32 Dalton Rd
Holbrook, MA 02343-1013
Registry dates
- Enumerated
- 2006-07-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.