Provider Demographics
NPI:1952075475
Name:BURGER, FREJA (APRN)
Entity Type:Individual
Prefix:MS
First Name:FREJA
Middle Name:
Last Name:BURGER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:154 LIGHTHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:SAUGERTIES
Mailing Address - State:NY
Mailing Address - Zip Code:12477-4257
Mailing Address - Country:US
Mailing Address - Phone:603-682-7627
Mailing Address - Fax:
Practice Address - Street 1:45 WELLS ST
Practice Address - Street 2:
Practice Address - City:WESTERLY
Practice Address - State:RI
Practice Address - Zip Code:02891-2961
Practice Address - Country:US
Practice Address - Phone:401-348-0008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-07
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY817045163WP0808X
RI03638363LP0808X
NY403786363LP0808X
CT12141363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health