Provider Demographics
NPI:1639825805
Name:CAREY, FREDERIQUE (A-GNP)
Entity type:Individual
Prefix:
First Name:FREDERIQUE
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:A-GNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 E HARVARD AVE STE 125
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5074
Mailing Address - Country:US
Mailing Address - Phone:720-638-7500
Mailing Address - Fax:720-812-5134
Practice Address - Street 1:850 E HARVARD AVE STE 125
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5074
Practice Address - Country:US
Practice Address - Phone:720-638-7500
Practice Address - Fax:720-812-5134
Is Sole Proprietor?:No
Enumeration Date:2022-02-26
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ14927600363L00000X
COAPN.0997339-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner