Individual
CATHY J FREIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2714 RIVERVIEW DR, GREEN BAY, WI 54313-6715
(920) 430-4760
Mailing address
2714 RIVERVIEW DR, GREEN BAY, WI 54313-6715
(920) 430-4760
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
894
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
894-033
LICENSE
WI
Enumeration date
12/08/2005
Last updated
04/16/2014
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