National Provider Identifier
Bonita L Fredericks, LPN
Bonita L Fredericks, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Darien Center, NY and a listed phone number of (585) 547-9367.
Profile Overview
- NPI
- 1518139021
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- March 25, 2008
- Last Updated
- March 25, 2008
Practice Location
- 1177 Sumner RD
- Darien Center, NY 14040-9797
Phone: (585) 547-9367
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1518139021
- Entity Type
- Individual
- Last Name
- Fredericks
- First Name
- Bonita
- Middle Name
- L
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 1177 Sumner RD
- Mailing City
- Darien Center
- Mailing State
- NY
- Mailing ZIP Code
- 14040-9797
- Mailing Country
- US
- Mailing Phone
- (585) 547-9367
- Practice Street Address
- 1177 Sumner RD
- Practice City
- Darien Center
- Practice State
- NY
- Practice ZIP Code
- 14040-9797
- Practice Country
- US
- Practice Phone
- (585) 547-9367
- Enumeration Date
- March 25, 2008
- Last Updated
- March 25, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)
- Other Identifiers
- 02705966 (NY)