Doctor Name: | MRS. SYDNA K FREEMAN |
NPI Number: | 1023089943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N. |
License Number: | 2621553102 |
Business Practice Address: | 7434 S State St Midvale, UT - 840472014 |
Business Phone Number: | 8015664423 |
Business Fax Number: | |
Mailing Address: | 7336 S 2780 E, SALT LAKE CITY |
State: | UT |
Postal Code: | 841214149 |
Phone Number: | 8019449526 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0808X |
License Number: | 2621553102 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |