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

Nancy Frederic, NP

Individual provider Registered Nurse · NPI 1063716769

Nancy Frederic, NP is a Registered Nurse in West Orange, New Jersey. Licensed in New Jersey and New York. Registered with an NPI since 2011.

Licensed in
NJ, NY
In the registry since
2011
Specialties on file
4
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

75 Crestmont Rd
West Orange, NJ 07052-1626
Phone: (973) 325-0805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 26NJ00512000 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 581305 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 26NR17113600 (NJ)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 430774 (NY)

Record details

NPI number1063716769
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 10, 2011
Last updated in NPPESJanuary 27, 2022
Certification dateJanuary 27, 2022
Mailing address75 Crestmont Rd, West Orange, NJ 07052-1626

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