Fredricka Marsh | Minnetonka, MN • PECOS Search

Fredricka Marsh

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

9900 Bren Rd E, Mail Route Mn 008-B213, Minnetonka, MN 55343-9664

(954) 299-2498 (954) 257-2601

PECOS Enrollment

Based on the most recent information from CMS, provider Fredricka Marsh does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1376992313
Provider Type
Individual
Full Name
Marsh, Fredricka
Title
Mrs.
Credential
DNP, FNP-BC

Gender
Female
Sole Proprietor
No
Enumeration Date
6/9/2016
Last Updated
9/14/2020

Contact Information

Practice Location

9900 Bren Rd E, Mail Route Mn 008-B213, Minnetonka, MN 55343-9664

Unlisted Fax

Mailing Location

2111 SW 35th Ave, Fort Lauderdale, FL 33312-3627

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License ARNP9184714 Florida