Doctor Name: | RHONDA FRIED |
NPI Number: | 1114197324 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.C., A.P.N. |
License Number: | |
Business Practice Address: | 12 Health Services Dr Dekalb, IL - 601159637 |
Business Phone Number: | 8157564875 |
Business Fax Number: | |
Mailing Address: | 12 Health Services Dr, DEKALB |
State: | IL |
Postal Code: | 601159637 |
Phone Number: | 8157564875 |
Fax Number: | |
NPI Enumeration Date: | 03/04/2008 |
NPI Last Update Date: | 03/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0809X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |