Individual
MR. WILLIAM HANS FRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA/APRN
Contact information
Practice address
263 FARMINGTON AVE, PROVIDER ENROLLMENT, FARMINGTON, CT 06030-2212
(860) 679-7503
(860) 679-1610
Mailing address
132 LEDGE RD, PLAINVILLE, CT 06062-2526
(860) 747-8140
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
000179
CT
367500000X
Certified Registered Nurse Anesthetist
Primary
000179
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004269800
—
CT
Enumeration date
08/02/2006
Last updated
07/16/2012
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