Provider Demographics
NPI:1336428481
Name:CENTER OF THE HEALING ARTS
Entity Type:Organization
Organization Name:CENTER OF THE HEALING ARTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:D
Authorized Official - Last Name:FROELICH
Authorized Official - Suffix:
Authorized Official - Credentials:APRN,BC
Authorized Official - Phone:989-354-3333
Mailing Address - Street 1:2052 KING SETTLEMENT RD
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-9594
Mailing Address - Country:US
Mailing Address - Phone:989-354-3333
Mailing Address - Fax:
Practice Address - Street 1:114 E OLDFIELD ST
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-2354
Practice Address - Country:US
Practice Address - Phone:989-354-3333
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704134077363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty