Provider / Organization | NPI | Date Certified |
---|---|---|
YOHANNES G FRE | 1144971631 | 2022-01-16 |
Yohannes G Fre is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144971631. Registration indicates Yohannes G Fre is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Primary Care, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Primary Care, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Yohannes G Fre MSN FNP-BC |
Practice Office Address | 816 FEATHERSTONE RD ROCKFORD, IL US |
Practice Office Telephone | 8152270081 |
Mailing Address | 816 FEATHERSTONE RD ROCKFORD, IL 611076300 US |
Business Telephone | 7732161445 |
Code | Practice | License No State |
---|---|---|
363LP2300X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Primary Care All Other Specialties & Provider Types Nurse Practitioner Primary Care Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 10949-33
WI |