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NPI Code Detail

MEDICARE: CHERI FREIMUTH APRN

MEDICARE: CHERI FREIMUTH APRN
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
1363L00000XNurse Practitioner94552OK
2363LF0000XFamily Nurse PractitionerCNP-021207OH
3363LF0000XFamily Nurse Practitioner3011210KY
4363L00000XNurse Practitioner3011210KY
5207Q00000XFamily Medicine Physician3011210KY
6363LP2300XPrimary Care Nurse Practitioner3011210KY

General Provider Information

NPI Number : 1619389384
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERI FREIMUTH APRN
Provider Business Mailing Address
First Line : 9000 HIGHWAY 1546
Second Line :
City : MONTICELLO
State : KY
Zip : 42633-7112
Country : US
Telephone Number : 606-679-2773
Fax Number :
Provider Business Practice Location Address
First Line : 9000 HIGHWAY 1546
Second Line :
City : MONTICELLO
State : KY
Zip : 42633-7112
Country : US
Telephone Number : 859-409-6048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/28/2014
Last Update Date : 12/03/2025

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