NPI
Justin William Fredericksen
NPI 1982082400
Read from the NPPES registry on October 25, 2026.
Facts
- Status
- Active
- Credential
- LPN
- Type
- Individual
- Enumeration date
- 2015-05-16
- Last updated
- 2021-05-02
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Specialties
Licenses
- License NV
- LPN15722
Location
- Practice location
- 720 Wood St
- City
- Eureka CA
- Postal code
- 95501-4413
- Phone
- (707) 268-2994
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Licensed Psychiatric Technicians in Eureka, CA. 9 with this primary taxonomy in the public file.
Other NPIs in Eureka, CA. 3,230 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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