Doctor Name: | SANDRA FRENIER |
NPI Number: | 1003918426 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 470 |
Business Practice Address: | 3340 Providence Dr Suite 452 Anchorage, AK - 995084616 |
Business Phone Number: | 9075622120 |
Business Fax Number: | |
Mailing Address: | 3340 Providence Dr, Suite 452 ANCHORAGE |
State: | AK |
Postal Code: | 995084616 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/05/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 470 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |