Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LF0000X | Nurse Practitioner - Family Medicine | AP60607117 | WA |
N | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP9363962 | FL |
Y | 363LP2300X | Nurse Practitioner - Primary Care | AP60607117 | WA |
NPI | 1063806479 |
---|---|
Provider Name | Darren Freeman |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Bellevue, WA 98007-3836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 09/09/2021 |