Provider Demographics
NPI:1689206633
Name:FRIGAARD, NANCY RENEE (DMIN, LMFT)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:RENEE
Last Name:FRIGAARD
Suffix:
Gender:F
Credentials:DMIN, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7218 W DREYFUS DR
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85381-6011
Mailing Address - Country:US
Mailing Address - Phone:623-810-8590
Mailing Address - Fax:
Practice Address - Street 1:7218 W DREYFUS DR
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-6011
Practice Address - Country:US
Practice Address - Phone:623-810-8590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-07
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ15-231106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist