Individual
JACOB ROBERT FROEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 985-6879
Mailing address
1717 S J ST, TACOMA, WA 98405-4933
(844) 364-2778
(253) 985-6879
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
60649007
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
AP60782874
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2210805
—
WA
Enumeration date
07/10/2017
Last updated
01/05/2023
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