Provider Demographics
NPI:1902830854
Name:FREYER, DEBORAH J (ARNP)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:J
Last Name:FREYER
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:PO BOX 1830
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33757-1830
Mailing Address - Country:US
Mailing Address - Phone:727-532-0002
Mailing Address - Fax:
Practice Address - Street 1:3745 33RD ST N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-1506
Practice Address - Country:US
Practice Address - Phone:727-525-0006
Practice Address - Fax:727-521-3694
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2619402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01103135OtherMEDICARE RAILROAD PROVIDER NUMBER
FL003860500Medicaid
FL003860500Medicaid
FLU1126UMedicare PIN
FLU1126TMedicare PIN