Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | MD048832 | DC |
N | 207N00000X | Dermatologist | ME119241 | FL |
N | 207R00000X | Internist | TRN16055 | FL |
N | 111NI0900X | Internist | TRN16055 | FL |
NPI | 1033401898 |
---|---|
Provider Name | Cheri Nicole Frey |
First Address | Washington, DC 20060-0001 |
Second Address | Alexandria, VA 22304-1311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2011 |
Last Update Date | 05/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
015435500 | (05) | FL |
546965ZW77 | MEDICARE (01) | VA |
546978ZXKN | MEDICARE (01) | MD |