MEDICARE: MICHAEL JAMES DEFRIES RN

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	163WC0200X	Critical Care Medicine Registered Nurse	732618	CA

General Provider Information

NPI Number	:	1093040271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JAMES DEFRIES RN

Provider Business Mailing Address
First Line	:	2619 JASMINE ST
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-6253
Country	:	US
Telephone Number	:	619-884-2791
Fax Number	:

Provider Business Practice Location Address
First Line	:	2619 JASMINE ST
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-6253
Country	:	US
Telephone Number	:	619-884-2791
Fax Number	:

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

Provider Enumeration Date	:	10/06/2009
Last Update Date	:	10/06/2009

Similar Medicare Providers

1326440934 — PHYSICAL THERAPIST
Practice Location Address:

2614 JASMINE ST
NATIONAL CITY, CA
91950-6253

Practice Phone: 480-577-1398
Practice Fax:

1497761639 — JOHN R HARPER DDS
Practice Location Address:

17200 MACK AVE
GROSSE POINTE CITY, MI
48230-6253

Practice Phone: 313-882-4891
Practice Fax: 313-882-0701

1225210370 — HUMAN PERFORMANCE CENTER 6 PC
Practice Location Address:

9060 HARMONY DR STE A
MIDWEST CITY, OK
73130-6253

Practice Phone: 405-610-7800
Practice Fax:

1730472101 — SPENCER FAMILY DENTISTRY
Practice Location Address:

9060 HARMONY DR STE D
MIDWEST CITY, OK
73130-6253

Practice Phone: 405-732-1012
Practice Fax: 405-733-8296

1306113915 — TRIPLE H STAFFING
Practice Location Address:

6253 GRASSY BRANCH RD
BRYSON CITY, NC
28713-5684

Practice Phone: 828-488-9068
Practice Fax: 828-488-9128

1619389350 — SKYLER ROBIN PEACOCK DMD
Practice Location Address:

9060 HARMONY DR STE D
MIDWEST CITY, OK
73130-6253

Practice Phone: 405-737-8831
Practice Fax: 405-458-8022

Directions to “ MICHAEL JAMES DEFRIES RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.