MEDICARE: LAURA FREED

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
1	163W00000X	Registered Nurse	684226	CA

General Provider Information

NPI Number	:	1467392639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA FREED

Provider Business Mailing Address
First Line	:	1001 POTRERO AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3518
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 POTRERO AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3518
Country	:	US
Telephone Number	:	415-350-6072
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “ LAURA FREED ” Practice Location

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