Individual
YVETTE M FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
1012 E WILLETTA ST, PHOENIX, AZ 85006-2749
(602) 839-6484
Mailing address
3707 W DAILEY ST, PHOENIX, AZ 85053-5419
(623) 204-6217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
LP035574
AZ
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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