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NPI Code Detail

MEDICARE: MS. KARIN GENETTE FRAELICH RN, BSN

MEDICARE: MS. KARIN GENETTE FRAELICH RN, BSN
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
1163W00000XRegistered NurseRN430097OH

General Provider Information

NPI Number : 1437648573
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARIN GENETTE FRAELICH RN, BSN
Provider Business Mailing Address
First Line : 13290 E COUNTY ROAD 12
Second Line :
City : ATTICA
State : OH
Zip : 44807-9501
Country : US
Telephone Number : 419-217-1146
Fax Number :
Provider Business Practice Location Address
First Line : 22 CLINTON ST
Second Line :
City : BLOOMVILLE
State : OH
Zip : 44818-9399
Country : US
Telephone Number : 419-983-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2018
Last Update Date : 05/03/2018

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