MEDICARE: MISS CHRISTINE FREISE ACNP

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	363LA2100X	Acute Care Nurse Practitioner	95035500	CA
2	363LA2100X	Acute Care Nurse Practitioner	26NJ00355000	NJ
3	363LA2100X	Acute Care Nurse Practitioner	430544	NY

General Provider Information

NPI Number	:	1578878179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS CHRISTINE FREISE ACNP

Provider Business Mailing Address
First Line	:	830 MORRIS TPKE FL 4
Second Line	:
City	:	SHORT HILLS
State	:	NJ
Zip	:	07078-2625
Country	:	US
Telephone Number	:	888-803-3370
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 ROUTE 73 N
Second Line	:
City	:	MARLTON
State	:	NJ
Zip	:	08053-3422
Country	:	US
Telephone Number	:	888-803-3370
Fax Number	:

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

Provider Enumeration Date	:	08/09/2010
Last Update Date	:	04/20/2026

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