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NPI Code Detail

MEDICARE: DEANNE MARIE BARBERY-FREY AGACNP-BC

MEDICARE: DEANNE MARIE BARBERY-FREY AGACNP-BC
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
1363LA2100XAcute Care Nurse PractitionerAP143876TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AP143876OTHERTXTEXAS BOARD OF NURSING

General Provider Information

NPI Number : 1114562790
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEANNE MARIE BARBERY-FREY AGACNP-BC
Provider Business Mailing Address
First Line : 726 SENDERO DR
Second Line :
City : ARLINGTON
State : TX
Zip : 76002-5717
Country : US
Telephone Number : 817-715-8516
Fax Number :
Provider Business Practice Location Address
First Line : 5200 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-7709
Country : US
Telephone Number : 214-590-8000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2019
Last Update Date : 11/07/2019

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