# FREDA MUSIAL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1255310231
- **Gender:** F
- **Credential:** NP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 0024167850 | VA | — |
| 363L00000X | Nurse Practitioner | 4704150548 | MI | Yes |
| 363L00000X | Nurse Practitioner | SP009678 | PA | — |

## Other

- **Enumeration date:** 01/10/2006
- **Last updated:** 06/01/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11712562 | CAQH | PA |
