Individual
MARIAH FREEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
157 ROOSEVELT AVE, SELINSGROVE, PA 17870-7961
(570) 884-3726
(570) 884-3728
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP025420
PA
363LF0000X
Family Nurse Practitioner
SP025420
PA
Other
Enumeration date
03/01/2022
Last updated
05/31/2024
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