MEDICARE: ERIN FREITAS CRNP

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	363LP0200X	Pediatric Nurse Practitioner	R180560	MD

General Provider Information

NPI Number	:	1902238256
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN FREITAS CRNP

Provider Business Mailing Address
First Line	:	2643 CARVER RD
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-1716
Country	:	US
Telephone Number	:	410-721-1945
Fax Number	:

Provider Business Practice Location Address
First Line	:	2643 CARVER RD
Second Line	:
City	:	GAMBRILLS
State	:	MD
Zip	:	21054-1716
Country	:	US
Telephone Number	:	410-721-1945
Fax Number	:

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

Provider Enumeration Date	:	08/08/2013
Last Update Date	:	09/04/2021

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