Provider Demographics
NPI:1659488518
Name:FREY, CHRISTINE A (ARNP)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:A
Last Name:FREY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11522 NE 20TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3005
Mailing Address - Country:US
Mailing Address - Phone:425-462-2531
Mailing Address - Fax:425-454-6176
Practice Address - Street 1:11522 NE 20TH ST
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3005
Practice Address - Country:US
Practice Address - Phone:425-462-2531
Practice Address - Fax:425-454-6176
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30005936363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1113166Medicaid
WA912051818OtherCOMMERCIAL
WA9228FROtherBLUE SHIELD REGENCE
WA912051818OtherCOMMERCIAL
P50479Medicare UPIN