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NPI Code Detail

MEDICARE: LAUREN TAYLOR FROEDE FNP-BC

MEDICARE: LAUREN TAYLOR FROEDE FNP-BC
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
1363LF0000XFamily Nurse PractitionerRN227419GA

General Provider Information

NPI Number : 1902372550
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN TAYLOR FROEDE FNP-BC
Provider Business Mailing Address
First Line : 56 SERENE HILLS DR
Second Line :
City : FREDERICKSBURG
State : VA
Zip : 22406-4088
Country : US
Telephone Number : 229-460-2243
Fax Number :
Provider Business Practice Location Address
First Line : 2125 HILLIARD RD
Second Line :
City : RICHMOND
State : VA
Zip : 23228-4600
Country : US
Telephone Number : 804-266-9666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2018
Last Update Date : 11/26/2024

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