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General NPI Number Information
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NPI Number | 1225096001
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Entity Type | Individual
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Provider Name | CHARLOTTE M FRIRES CNM, MSN
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Gender | Female
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 11/21/2007
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Provider Practice Location Address
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Address Line | 4110 WARRENSVILLE CENTER RD
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City | BEACHWOOD
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State | OH
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Zip | 44122-7024
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Country | US
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Telephone | 216-491-7774
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Fax | 216-491-7775
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Provider Business Mailing Address
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Address Line | 275 SPRINGSIDE DR STE 100
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City | AKRON
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State | OH
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Zip | 44333-4549
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | RN 188002 NM 02969
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License Number State | OH
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