Healthcare Provider Details

I. General information

NPI: 1558736652
Provider Name (Legal Business Name): MARGARET FREISINGER NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/01/2015
Last Update Date: 12/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9817 ELDRIDGE RD NW
ALBUQUERQUE NM
87114-1909
US

IV. Provider business mailing address

9817 ELDRIDGE RD NW
ALBUQUERQUE NM
87114-1909
US

V. Phone/Fax

Practice location:
  • Phone: 505-980-1412
  • Fax: 505-298-9983
Mailing address:
  • Phone: 505-980-1412
  • Fax: 505-298-9983

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP-02809
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: