Healthcare Provider Details

I. General information

NPI: 1053223206
Provider Name (Legal Business Name): CHRISTIAN FREM CRNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 OSBORNE ST
JOHNSTOWN PA
15905-4146
US

IV. Provider business mailing address

88 OSBORNE ST
JOHNSTOWN PA
15905-4146
US

V. Phone/Fax

Practice location:
  • Phone: 814-539-0798
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberSP037227
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: