Provider Demographics
NPI:1780021618
Name:ORREGO, FRIDA M (APRN-FNP)
Entity Type:Individual
Prefix:MRS
First Name:FRIDA
Middle Name:M
Last Name:ORREGO
Suffix:
Gender:F
Credentials:APRN-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3415 RIDGELAKE DR APT D
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70002-3790
Mailing Address - Country:US
Mailing Address - Phone:504-554-8677
Mailing Address - Fax:
Practice Address - Street 1:3415 RIDGELAKE DR APT D
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-3790
Practice Address - Country:US
Practice Address - Phone:504-554-8677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-01
Last Update Date:2013-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06326363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily