Doctor Name: | CHRISTY LYNN FREED |
NPI Number: | 1053638411 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP-BC |
License Number: | ARNP9306422 |
Business Practice Address: | 335 Clyde Morris Blvd Suite 240 Ormond Beach, FL - 321743181 |
Business Phone Number: | 3862316172 |
Business Fax Number: | |
Mailing Address: | 335 Clyde Morris Blvd, Suite 240 ORMOND BEACH |
State: | FL |
Postal Code: | 321743181 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/26/2010 |
NPI Last Update Date: | 04/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | ARNP9306422 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |