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

Individual provider Case Management Registered Nurse · NPI 1871294447

Marjory Frederic, PMHNP-BC is a Case Management Registered Nurse in Las Vegas, Nevada. Practices as a sole proprietor and works from 2 locations. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2023
Specialties on file
3
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

5940 S Rainbow Blvd Ste 400
Las Vegas, NV 89118-2507
Phone: (702) 854-6853
Fax: (702) 758-7315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3415 S Sepulveda Blvd Fl 11, Los Angeles, CA 90034-6060 — (702) 854-6853

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 871409 (NV)
Case Management Registered Nurse Taxonomy 163WC0400X · Licence RN78446 (NV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95032219 (CA)

Record details

NPI number1871294447
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorYes
NPI enumeratedMarch 13, 2023
Last updated in NPPESMay 24, 2025
Certification dateMay 24, 2025

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