Healthcare Provider Details

I. General information

NPI: 1134192107
Provider Name (Legal Business Name): DEBRA ANN FREUND DNP CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2006
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 W IRONWOOD DR STE 155
COEUR D ALENE ID
83814-4462
US

IV. Provider business mailing address

7830 N MEADOWLARK WAY STE A
COEUR D ALENE ID
83815-8933
US

V. Phone/Fax

Practice location:
  • Phone: 208-667-0585
  • Fax:
Mailing address:
  • Phone: 208-415-0299
  • Fax: 208-625-2070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number65899
License Number StateID
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number65899
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: