Provider Demographics
NPI:1679725998
Name:CENTOR, FREDA HOROWITZ (RN,MSN)
Entity Type:Individual
Prefix:
First Name:FREDA
Middle Name:HOROWITZ
Last Name:CENTOR
Suffix:
Gender:F
Credentials:RN,MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UAB COMMUNITY EDUCATION WOMENS AND
Mailing Address - Street 2:619 19TH STREET SOUTH, JT N478
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-0001
Mailing Address - Country:US
Mailing Address - Phone:205-975-2337
Mailing Address - Fax:205-975-6803
Practice Address - Street 1:UAB COMMUNITY EDUCATION WOMENS AND
Practice Address - Street 2:619 19TH STREET SOUTH, JT N478
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-0001
Practice Address - Country:US
Practice Address - Phone:205-975-2337
Practice Address - Fax:205-975-6803
Is Sole Proprietor?:No
Enumeration Date:2008-10-17
Last Update Date:2008-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-075020163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse