IndividualActive
Ma. Theresa Fredrickson, DNP, AGPCNP-BC
NPI 1760157234 · Gerontology Nurse Practitioner · La Crosse, WI
Provider details
- NPI number
- 1760157234
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, AGPCNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 11200-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1836 South Ave
La Crosse, WI 54601-5429
Phone: (608) 782-7300
Approximate (ZIP-level) locationGet directions
Mailing address
1836 South Ave
La Crosse, WI 54601-5429
Registry dates
- Enumerated
- 2021-08-16
- Last updated
- 2024-07-31
- Certified
- 2024-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.