National Provider Identifier
Tracey Frederick, LPN
Tracey Frederick, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Williamsville, NY and a listed phone number of (716) 276-2123.
Profile Overview
- NPI
- 1073891958
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- July 27, 2011
- Last Updated
- July 27, 2011
Practice Location
- 2250 Wehrle Dr
- Suite 1
- Williamsville, NY 14221-7034
Phone: (716) 276-2123
Mailing Address
- 1786 Bailey Ave
- Buffalo, NY 14211-2418
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1073891958
- Entity Type
- Individual
- Last Name
- Frederick
- First Name
- Tracey
- Credential
- LPN
- Mailing Street Address
- 1786 Bailey Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14211-2418
- Mailing Country
- US
- Mailing Phone
- (716) 510-4904
- Practice Street Address
- 2250 Wehrle Dr
- Practice Address Line 2
- Suite 1
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7034
- Practice Country
- US
- Practice Phone
- (716) 276-2123
- Practice Fax
- (716) 276-2129
- Enumeration Date
- July 27, 2011
- Last Updated
- July 27, 2011
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)