Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.11069 | OH |
NPI | 1013220912 |
---|---|
Provider Name | Mrs. Heather Renee Freier |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43210-1280 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2010 |
Last Update Date | 11/09/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3098839 | (05) | OH |