| Taylor Frederick, | |
|
26346 Gibraltar Rd, Flat Rock, MI 48134-1522 | |
| (734) 535-8977 | |
| Not Available |
| Full Name | Taylor Frederick |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 26346 Gibraltar Rd, Flat Rock, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861158115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 4704320839 (Michigan) | Primary |
| Entity Name | Family Health Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184677866 PECOS PAC ID: 4082600549 Enrollment ID: O20040421001391 |
| Entity Name | Mdslivenow Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215688965 PECOS PAC ID: 7214323336 Enrollment ID: O20220329002421 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Frederick, 26346 Gibraltar Rd, Flat Rock, MI 48134-1522 Ph: () - | Taylor Frederick, 26346 Gibraltar Rd, Flat Rock, MI 48134-1522 Ph: (734) 535-8977 |
Allison Kathleen Bara, NP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 23000 Telegraph Rd, Flat Rock, MI 48134 Phone: 734-304-4500 | |
Fatima Hamadi, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 23000 Telegraph Rd, Flat Rock, MI 48134 Phone: 734-304-4500 |