MEDICARE: JULIE ANNE FRENETTE ARNP

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	363LF0000X	Family Nurse Practitioner	AP60956981	WA
2	363LP2300X	Primary Care Nurse Practitioner	AP60956981	WA
3	363LW0102X	Women's Health Nurse Practitioner	AP60956981	WA
4	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	AP60956981	WA
5	367A00000X	Advanced Practice Midwife	AP60956982	WA
6	363LF0000X	Family Nurse Practitioner	6192844-4405	UT

General Provider Information

NPI Number	:	1518190628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE ANNE FRENETTE ARNP

Provider Business Mailing Address
First Line	:	20 FOUNDRY ST FL 2
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-5419
Country	:	US
Telephone Number	:	888-731-8994
Fax Number	:	833-775-1861

Provider Business Practice Location Address
First Line	:	6975 S UNION PARK CTR STE 600
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84047-4187
Country	:	US
Telephone Number	:	888-731-8994
Fax Number	:	833-775-1861

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

Provider Enumeration Date	:	08/24/2009
Last Update Date	:	06/30/2025

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