Provider Demographics
NPI:1750640637
Name:GALE FRIEDENREICH, ED.D., ARNP, BC, P.A.
Entity Type:Organization
Organization Name:GALE FRIEDENREICH, ED.D., ARNP, BC, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADVANCED NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:GALE
Authorized Official - Middle Name:SHARON
Authorized Official - Last Name:FRIEDENREICH
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:561-300-4024
Mailing Address - Street 1:7100 W CAMINO REAL
Mailing Address - Street 2:SUITE 302
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-5510
Mailing Address - Country:US
Mailing Address - Phone:561-300-4024
Mailing Address - Fax:561-952-6922
Practice Address - Street 1:7100 W CAMINO REAL
Practice Address - Street 2:SUITE 302
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5510
Practice Address - Country:US
Practice Address - Phone:561-300-4024
Practice Address - Fax:561-952-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1879970261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health