Provider Demographics
NPI:1073531737
Name:HAMBY, FREDA C (CNM)
Entity Type:Individual
Prefix:
First Name:FREDA
Middle Name:C
Last Name:HAMBY
Suffix:
Gender:F
Credentials:CNM
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Other - First Name:
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Mailing Address - Street 1:1701 W CHARLESTON BLVD
Mailing Address - Street 2:#215
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-2325
Mailing Address - Country:US
Mailing Address - Phone:702-671-2395
Mailing Address - Fax:702-382-5388
Practice Address - Street 1:1707 W CHARLESTON BLVD # VD
Practice Address - Street 2:#120
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89102-2351
Practice Address - Country:US
Practice Address - Phone:702-671-5140
Practice Address - Fax:702-385-2745
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2009-04-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN6166367A00000X
NVAPN001097367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife