NPI 1043776149
Nicole Freeborn, IDC
Practice location
- Address
- 34800 Bob Wilson Dr, Fpo, AP 92134
- Phone
- (619) 532-6898
- Mailing address
- 34800 Bob Wilson Dr, San Diego, CA 92134-1098
Registered specialties
Independent Duty Corpsman
Primary
Registry record
- NPI
- 1043776149
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 13 Feb 2019
- Record last updated
- 13 Feb 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.