| Doctor Name: | DANA FREDRICKSON |
| NPI Number: | 1134594765 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN, HNB-BC |
| License Number: | 172064 |
| Business Practice Address: | 616 Franklin St Stevens Point, WI - 54481 |
| Business Phone Number: | 9204752480 |
| Business Fax Number: | |
| Mailing Address: | 616 Franklin St, STEVENS POINT |
| State: | WI |
| Postal Code: | 54481 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 364SH1100X |
| License Number: | 172064 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Clinical Nurse Specialist |
| Taxonomy Specialization: | Holistic |
| Taxonomy Definition: | |