Individual
GAYLE S FREDERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6508 BIENVILLE CT, MOBILE, AL 36695-3259
(251) 709-6980
Mailing address
6508 BIENVILLE CT, MOBILE, AL 36695-3259
(251) 709-6980
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
1-024624
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1024624
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000057537
—
AL
01
—
051057537
BC OF AL
AL
01
—
115135
MEDICAID AOC
AL
01
—
115141
MEDICAID SMC
AL
01
—
511-00430
BCBS OF ALABAMA SMC
AL
01
—
511-00442
BCBS OF AL - AOC
AL
Enumeration date
09/21/2005
Last updated
12/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us