Provider Demographics
NPI:1336787498
Name:DUFFY, FRIEDA ALBERTINI (RN)
Entity Type:Individual
Prefix:
First Name:FRIEDA
Middle Name:ALBERTINI
Last Name:DUFFY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:906D RIDGEFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01510-1448
Mailing Address - Country:US
Mailing Address - Phone:978-808-8745
Mailing Address - Fax:
Practice Address - Street 1:906D RIDGEFIELD CIR
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MA
Practice Address - Zip Code:01510-1448
Practice Address - Country:US
Practice Address - Phone:978-808-8745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-19
Last Update Date:2019-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN167040364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health