IndividualActive
Michelle Fredrick, LPN
NPI 1871189977 · Licensed Practical Nurse · Gotha, FL
Provider details
- NPI number
- 1871189977
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Credential
- LPN
- Sex
- Female
- Sole proprietor
- Yes
- License
- PN1331581 (FL)
Specialties & taxonomies
Nursing Service Providers
Practice location
9259 Lake Fischer Blvd
Gotha, FL 34734-5204
Phone: (407) 346-2585
Approximate (ZIP-level) locationGet directions
Mailing address
9259 Lake Fischer Blvd
Gotha, FL 34734-5204
Registry dates
- Enumerated
- 2020-12-14
- Last updated
- 2020-12-14
- Certified
- 2020-12-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.