Provider Demographics
NPI:1306407762
Name:FREGGIARO, SYDNEY E (ND)
Entity Type:Individual
Prefix:DR
First Name:SYDNEY
Middle Name:E
Last Name:FREGGIARO
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6166 S SANDHILL RD STE 146
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89120-3221
Mailing Address - Country:US
Mailing Address - Phone:702-703-7887
Mailing Address - Fax:
Practice Address - Street 1:6166 S SANDHILL RD STE 146
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3221
Practice Address - Country:US
Practice Address - Phone:702-703-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-26
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60985619175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath