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

Liselle Frederick, LPN

Individual provider General Practice Registered Nurse · NPI 1023642808

Liselle Frederick, LPN is a General Practice Registered Nurse in North Baldwin, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

1160 Hicks Pl
North Baldwin, NY 11510-1116
Phone: (516) 765-1449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Registered Nurse (primary) Taxonomy 163WG0000X · Licence 768654-1 (NY)

Record details

NPI number1023642808
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedMarch 2, 2020
Last updated in NPPESMarch 2, 2020
Certification dateMarch 2, 2020
Mailing address1160 Hicks Pl, North Baldwin, NY 11510-1116

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