Individual
HEATHER A FREITAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-8833
(701) 530-8842
Mailing address
900 E BROADWAY AVE, BISMARCK, ND 58501-4520
(701) 530-8833
(701) 530-8842
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R28179
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13984
—
ND
01
—
26806
BCBS
NC
Enumeration date
06/16/2006
Last updated
07/02/2010
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