FREDERIC NORTHERN, PA-C
Physician Assistant - Medical
Active
Individual
NPI: 1548682842
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | PA2013-0085 (NM) |
| Physician Assistant | 363A00000X | No | PA2013-0085 (NM) |
Frequently Asked Questions
NPI 1548682842 is the National Provider Identifier for FREDERIC NORTHERN, PA-C, a Physician Assistant - Medical provider located in Santa Fe, NM. This NPI was enumerated on January 6, 2014.
FREDERIC NORTHERN, PA-C practices at 707 PASEO DE PERALTA, Santa Fe, NM 87501.
Quick Facts
- NPI
- 1548682842
- Type
- Individual
- Enumerated
- Jan 6, 2014
- Last Updated
- Jul 30, 2025
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