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Individual

CHRISTA DAWN FREEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC

Contact information

Practice address
901 HIGHWAY 416 W, HENDERSON, KY 42420-8871
(812) 568-5282
Mailing address
901 HIGHWAY 416 W, HENDERSON, KY 42420-8871
(812) 568-5282

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28152181A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8433843384
MEDICARE
IN
01
8433843384
MEDICARE
KY
05
8433843384
IN
05
8433843384
KY
Enumeration date
03/16/2022
Last updated
03/16/2022
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