Doctor Name: | ANN FRETZ |
NPI Number: | 1215903794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R670545 |
Business Practice Address: | 850 Emergency Dr West Point, MS - 397739357 |
Business Phone Number: | 6624941870 |
Business Fax Number: | 6624940002 |
Mailing Address: | 850 Emergency Dr, WEST POINT |
State: | MS |
Postal Code: | 397739357 |
Phone Number: | 6624941870 |
Fax Number: | 6624940002 |
NPI Enumeration Date: | 02/24/2006 |
NPI Last Update Date: | 02/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R670545 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |