Provider Demographics
NPI:1407024748
Name:FREIBERG, VALENTINA EYDELMAN (NP)
Entity Type:Individual
Prefix:
First Name:VALENTINA
Middle Name:EYDELMAN
Last Name:FREIBERG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:894 HOSTMAN AVE
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3058
Mailing Address - Country:US
Mailing Address - Phone:251-364-5065
Mailing Address - Fax:
Practice Address - Street 1:894 HOSTMAN AVE
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3058
Practice Address - Country:US
Practice Address - Phone:251-364-5065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-20
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP003673B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily