Individual
YOHANNES G FRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN FNP-BC
Contact information
Practice address
816 FEATHERSTONE RD, ROCKFORD, IL 61107-6300
(815) 227-0081
Mailing address
816 FEATHERSTONE RD, ROCKFORD, IL 61107-6300
(773) 216-1445
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
10949-33
WI
Other
Enumeration date
01/16/2022
Last updated
11/25/2022
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