Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrea Frederic, REGISTEREDNURSE

Individual provider General Practice Registered Nurse · NPI 1205523255

Andrea Frederic, REGISTEREDNURSE is a General Practice Registered Nurse in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

320 Avon St
Philadelphia, PA 19116-3208
Phone: (718) 340-8482
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN751098 (PA)
General Practice Registered Nurse Taxonomy 163WG0000X · Licence RN751098 (PA)

Record details

NPI number1205523255
Entity typeIndividual (Type 1)
GenderFemale
Credentials REGISTEREDNURSE
Sole proprietorYes
NPI enumeratedApril 20, 2023
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

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