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

Marie Elisabeth Frederick, FNP-C

Individual provider Family Nurse Practitioner · NPI 1750051090

Marie Elisabeth Frederick, FNP-C is a Family Nurse Practitioner in Fort Mill, South Carolina. Works from 2 locations. Licensed in Illinois and South Carolina.

Licensed in
IL, SC
In the registry since
2021
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Practice location Address checks out

1057 Red Ventures Dr Ste 150
Fort Mill, SC 29707-2518
Phone: (803) 548-3708
Fax: (704) 887-6450
Show map & directions

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

Additional practice locations (1)

  • 4200 Regent St Ste 200, Columbus, OH 43219-6229 — (877) 870-1775

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26697 (SC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209.023784 (IL)

Record details

NPI number1750051090
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedSeptember 17, 2021
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

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