Provider Demographics
NPI:1740028729
Name:FREY, AMY LEIGH (MSN, APRN, FNP)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:LEIGH
Last Name:FREY
Suffix:
Gender:F
Credentials:MSN, APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22522 COVE HOLLOW DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-5836
Mailing Address - Country:US
Mailing Address - Phone:281-705-8762
Mailing Address - Fax:
Practice Address - Street 1:22522 COVE HOLLOW DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-5836
Practice Address - Country:US
Practice Address - Phone:281-705-8762
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1168981363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily