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

Bailey Fredenburg

Individual provider Licensed Vocational Nurse · NPI 1205504040

Bailey Fredenburg is a Licensed Vocational Nurse in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021

Practice location Address checks out

9846 Hwy 31 E
Tyler, TX 75705-2329
Phone: (903) 592-8001
Show map & directions

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

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 352178 (TX)

Record details

NPI number1205504040
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 4, 2021
Last updated in NPPESSeptember 4, 2021
Certification dateSeptember 4, 2021
Mailing address9846 Hwy 31 E, Tyler, TX 75705-2329

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