Provider Demographics
NPI:1477840437
Name:FROEHLICH, ALESHA J (FNP)
Entity Type:Individual
Prefix:
First Name:ALESHA
Middle Name:J
Last Name:FROEHLICH
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:ALESHA
Other - Middle Name:J
Other - Last Name:OLSSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:4750 WATERS AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6268
Mailing Address - Country:US
Mailing Address - Phone:912-350-7914
Mailing Address - Fax:912-350-7973
Practice Address - Street 1:4750 WATERS AVE
Practice Address - Street 2:SUITE 307
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6200
Practice Address - Country:US
Practice Address - Phone:912-350-7914
Practice Address - Fax:912-350-7973
Is Sole Proprietor?:No
Enumeration Date:2011-06-28
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN168282363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA618950OtherWELLCARE
SCNP1875Medicaid
GA003111120AMedicaid
GAP00955089OtherRAILROAD MEDICARE
GA003111120AMedicaid