MEDICARE: FRUMESS NURSE PRACTITIONER FAMILY HEALTH PLLC

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

General Provider Information

NPI Number	:	1578789723
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRUMESS NURSE PRACTITIONER FAMILY HEALTH PLLC

Provider Business Mailing Address
First Line	:	10401 N MERIDIAN ST
Second Line	:	STE 310
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46290-1151
Country	:	US
Telephone Number	:	317-428-4379
Fax Number	:

Provider Business Practice Location Address
First Line	:	43 MAIN STREET
Second Line	:
City	:	LIVINGSTON MANOR
State	:	NY
Zip	:	12758
Country	:	US
Telephone Number	:	845-439-8371
Fax Number	:

Authorized Official
Title or Position	:	PRINCIPAL OFFICER
Name	:	NAOMI C. FRUMESS
Credential	:	FNP
Telephone Number	:	845-439-8371

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	08/22/2020

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