Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LG0600X | Nurse Practitioner - Gerontology | APN00443 | NV |
NPI | 1083644330 |
---|---|
Provider Name | Sara E Freitag |
First Address | Reno, NV 89521-8877 |
Second Address | Reno, NV 89502-2597 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2006 |
Last Update Date | 08/07/2007 |