Individual
PAIGE NICHOLE FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,FNP-C
Contact information
Practice address
2620 N 3RD ST STE 103, PHOENIX, AZ 85004-1153
(480) 756-6000
Mailing address
6213 N WINDERMERE DR, SHREVEPORT, LA 71129-3422
(318) 426-1991
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
254074
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
088935
—
AZ
Enumeration date
02/24/2021
Last updated
03/25/2021
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