Provider Demographics
NPI:1396909958
Name:FREELAND, BARBARA SUE (RN)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:SUE
Last Name:FREELAND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:40476 MEADOW TRL
Mailing Address - Street 2:
Mailing Address - City:NORTHVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48168-3217
Mailing Address - Country:US
Mailing Address - Phone:313-745-2126
Mailing Address - Fax:313-993-0295
Practice Address - Street 1:40476 MEADOW TRL
Practice Address - Street 2:
Practice Address - City:NORTHVILLE
Practice Address - State:MI
Practice Address - Zip Code:48168-3217
Practice Address - Country:US
Practice Address - Phone:313-745-2126
Practice Address - Fax:313-993-0295
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2009-08-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704098787363L00000X, 364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health