IndividualActive
Lynn Fredericks, RN
NPI 1841173101 · Case Management Registered Nurse · Lake Waukomis, MO
Provider details
- NPI number
- 1841173101
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2009012185 (MO)
Specialties & taxonomies
Nursing Service Providers
Practice location
439 Nw North Shore Dr
Lake Waukomis, MO 64151-1453
Phone: (816) 674-1240
Approximate (ZIP-level) locationGet directions
Mailing address
439 Nw North Shore Dr
Lake Waukomis, MO 64151-1453
Registry dates
- Enumerated
- 2025-07-25
- Last updated
- 2025-07-25
- Certified
- 2025-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.