MEDICARE: KIRSTEN NICOLE FREY

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1679417422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIRSTEN NICOLE FREY

Provider Business Mailing Address
First Line	:	924 E ESCUDA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85024-1145
Country	:	US
Telephone Number	:	760-519-0741
Fax Number	:

Provider Business Practice Location Address
First Line	:	924 E ESCUDA DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85024-1145
Country	:	US
Telephone Number	:	760-519-0741
Fax Number	:

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

Provider Enumeration Date	:	04/14/2026
Last Update Date	:	04/14/2026

Similar Medicare Providers

1386649796 — DR. ISMAR CINTORA M.D.
Practice Location Address:

2601 N 3RD ST , STE 203
PHOENIX, AZ
85004-1145

Practice Phone: 602-279-4442
Practice Fax: 602-279-5333

1245698265 — DR. JESUS ANTONIO LOVETT II PSYD
Practice Location Address:

2601 N 3RD ST STE 217
PHOENIX, AZ
85004-1145

Practice Phone: 480-999-1353
Practice Fax:

1528675469 — ANTELOPE WORKS, LLC
Practice Location Address:

2601 N 3RD ST STE 200
PHOENIX, AZ
85004-1145

Practice Phone: 602-456-6896
Practice Fax:

1215697941 — LOGAN KODYSZ NP
Practice Location Address:

2601 N 3RD ST STE 205
PHOENIX, AZ
85004-1145

Practice Phone: 602-492-2121
Practice Fax: 602-354-9301

1316693419 — DESERT CLOVER PSYCHIATRY, LLC
Practice Location Address:

2601 N 3RD ST STE 205
PHOENIX, AZ
85004-1145

Practice Phone: 602-492-2121
Practice Fax:

1568248110 — MEGHAN TERWILLIGER
Practice Location Address:

2601 N 3RD ST STE 205
PHOENIX, AZ
85004-1145

Practice Phone: 602-492-2121
Practice Fax:

Directions to “ KIRSTEN NICOLE FREY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.