Individual
FREDA MUSIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 PARK ST, EMERGENCY DEPT, HONESDALE, PA 18431-1445
(570) 253-8140
(866) 250-6385
Mailing address
38935 ANN ARBOR RD, SUITE 201, LIVONIA, MI 48150-3354
(734) 632-0175
(734) 632-0182
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024167850
VA
363L00000X
Nurse Practitioner
Primary
4704150548
MI
363L00000X
Nurse Practitioner
SP009678
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11712562
CAQH
PA
Enumeration date
01/10/2006
Last updated
06/01/2016
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