Provider Demographics
NPI:1245798701
Name:FREI, NATASHA R (PA)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:R
Last Name:FREI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:
Other - Last Name:WEHRMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1900 F ST
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:NE
Mailing Address - Zip Code:68361-2229
Mailing Address - Country:US
Mailing Address - Phone:402-759-8202
Mailing Address - Fax:402-759-8243
Practice Address - Street 1:1900 F ST
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:NE
Practice Address - Zip Code:68361-2229
Practice Address - Country:US
Practice Address - Phone:402-759-8202
Practice Address - Fax:402-759-8243
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2343207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine