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

Tamara Fredrickson

Individual provider Family Nurse Practitioner · NPI 1336471911

Tamara Fredrickson is a Family Nurse Practitioner in Boise, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2010

Practice location Address checks out

8169 W Victory Rd
Boise, ID 83709-4164
Phone: (208) 854-4173
Fax: (208) 854-4012
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-319A (ID)

Record details

NPI number1336471911
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2010
Last updated in NPPESFebruary 5, 2010

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