Individual
ANTOINETTE FREGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
6001 MENAUL BLVD NE # 1020, ALBUQUERQUE, NM 87110-3379
(505) 377-0276
Mailing address
16110 E 14TH ST, ASHLAND, CA 94578-3002
(510) 471-5880
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN72796
NM
363L00000X
Nurse Practitioner
Primary
95033328
CA
363L00000X
Nurse Practitioner
APRN11004349
FL
363LF0000X
Family Nurse Practitioner
1100439
FL
363LF0000X
Family Nurse Practitioner
APRN11004349
FL
Other
Enumeration date
04/27/2012
Last updated
05/13/2026
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