IndividualActive
Mckenzie Frederick, APRN
NPI 1629598651 · Psychiatric/Mental Health Nurse Practitioner · Casper, WY
Provider details
- NPI number
- 1629598651
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- License
- 38068 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
701 Antler Dr Ste 209
Casper, WY 82601-1749
Phone: (307) 209-9636
Fax: (307) 459-6805
Approximate (ZIP-level) locationGet directions
Mailing address
701 Antler Dr Ste 209
Casper, WY 82601-1749
Registry dates
- Enumerated
- 2017-06-21
- Last updated
- 2025-07-08
- Certified
- 2025-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.