Provider Demographics
NPI:1629645361
Name:FREED, JULIA HELEN NYHUIS (FNP, RN, MSN)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:HELEN NYHUIS
Last Name:FREED
Suffix:
Gender:F
Credentials:FNP, RN, MSN
Other - Prefix:
Other - First Name:JULIA
Other - Middle Name:HELEN GEMMA
Other - Last Name:NYHUIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:13213 MOSS RANCH LN
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22033-3523
Mailing Address - Country:US
Mailing Address - Phone:540-846-9580
Mailing Address - Fax:
Practice Address - Street 1:13213 MOSS RANCH LN
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22033-3523
Practice Address - Country:US
Practice Address - Phone:540-846-9580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001266936163W00000X
VA0024181587363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse