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NPI Code Detail

MEDICARE: PROF. TRENT GERARD FRIEDEL CRNA

MEDICARE: PROF. TRENT GERARD FRIEDEL CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN071561 AP03252LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1457343873
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. TRENT GERARD FRIEDEL CRNA
Provider Business Mailing Address
First Line : 126 FOX RUN DR.
Second Line :
City : NATCHITOCHES
State : LA
Zip : 71457-7881
Country : US
Telephone Number : 318-481-9543
Fax Number :
Provider Business Practice Location Address
First Line : 240 HIGHLAND DR
Second Line :
City : MANY
State : LA
Zip : 71449-3718
Country : US
Telephone Number : 318-256-5691
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2005
Last Update Date : 07/08/2007

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