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NPI Code Detail

MEDICARE: ANNETTE FREY RN

MEDICARE: ANNETTE FREY 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
1163WH0200XHome Health Registered NurseRN520857LPA

General Provider Information

NPI Number : 1558872150
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE FREY RN
Provider Business Mailing Address
First Line : 2433 HUNTINGDON PIKE
Second Line :
City : HUNTINGDON VALLEY
State : PA
Zip : 19006-6111
Country : US
Telephone Number : 215-245-2131
Fax Number : 215-245-3484
Provider Business Practice Location Address
First Line : 5500 TABOR AVE STE 301
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19120-2124
Country : US
Telephone Number : 215-245-2131
Fax Number : 215-245-3484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 10/23/2017

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