MEDICARE: DENNIS L FREED CRNP

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	363L00000X	Nurse Practitioner	UP005677B	PA

General Provider Information

NPI Number	:	1962443093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENNIS L FREED CRNP

Provider Business Mailing Address
First Line	:	304 N WATER ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3374
Country	:	US
Telephone Number	:	717-291-6371
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 W WALNUT ST
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-3383
Country	:	US
Telephone Number	:	717-299-6371
Fax Number	:

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	05/05/2023

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Directions to “ DENNIS L FREED CRNP” Practice Location

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