Doctor Name: | ASHLEA FREEMAN |
NPI Number: | 1124492434 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP-BC |
License Number: | 787867 |
Business Practice Address: | 912 11th St Wolfforth, TX - 793822408 |
Business Phone Number: | 8065779424 |
Business Fax Number: | |
Mailing Address: | 912 11th St, WOLFFORTH |
State: | TX |
Postal Code: | 793822408 |
Phone Number: | 8065779424 |
Fax Number: | |
NPI Enumeration Date: | 11/24/2015 |
NPI Last Update Date: | 11/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 787867 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |