Provider Demographics
NPI:1578879748
Name:GETZFREID, ROXANNE (RN)
Entity Type:Individual
Prefix:MS
First Name:ROXANNE
Middle Name:
Last Name:GETZFREID
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 4TH AVE N
Mailing Address - Street 2:
Mailing Address - City:GREYBULL
Mailing Address - State:WY
Mailing Address - Zip Code:82426-1924
Mailing Address - Country:US
Mailing Address - Phone:307-765-4326
Mailing Address - Fax:
Practice Address - Street 1:308 4TH AVE N
Practice Address - Street 2:
Practice Address - City:GREYBULL
Practice Address - State:WY
Practice Address - Zip Code:82426-1924
Practice Address - Country:US
Practice Address - Phone:307-765-4326
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-26
Last Update Date:2010-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY20564163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse