Individual
MRS. ANNETTE MARIE FRENDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
18101 OAKWOOD BLVD, EMERGENCY DEPT, DEARBORN, MI 48124-4089
(313) 593-8780
(313) 436-2864
Mailing address
38935 ANN ARBOR RD, LIVONIA, MI 48150-3397
(734) 805-0488
(866) 250-6385
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704247592
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704247592
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12510310
CAQH
MI
Enumeration date
01/17/2013
Last updated
04/09/2013
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