Individual
FREW FIKRU
Active
Individual
FREW FIKRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AG111190002
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AG11190002
PROFESSIONAL LICENSE
—
05
—
AG11190002
—
MA
Enumeration date
03/18/2020
Last updated
03/18/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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