Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | NP28702 | OR |
NPI | 1033285192 |
---|---|
Provider Name | Mrs. Kay Ann Froemming |
First Address | Springfield, OR 97477 |
Second Address | Springfield, OR 97477 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 08/07/2007 |