Individual
HEIDI FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 HENRY ST, NORTH VERNON, IN 47265-1063
(812) 352-4300
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002241A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200841250
—
IN
Enumeration date
10/27/2006
Last updated
12/22/2014
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