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Individual

ADDIE L FREYTAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
1236 KNOXVILLE HWY, WARTBURG, TN 37887
(423) 346-5566
(423) 346-5631
Mailing address
PO BOX 308, WARTBURG, TN 37887-0368
(423) 346-5566
(423) 346-5631

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN23757
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3341447
TN
01
4031545
BCBS
TN
01
RN23757
LICEASE
TN
Enumeration date
02/21/2007
Last updated
03/07/2023
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