Freeman, Joanne Aletha

Freeman, Joanne Aletha is an individual health care provider with primary practice located at 784 14Th Ave , Longview WA 98632-2315. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Nursing Service Providers / Pediatrics is her primary health care specialty. Freeman, Joanne Aletha can be contacted via phone (360) 425-6111.

Contact Information

Primary practice address
784 14Th Ave Longview WA 98632-2315
Phone: (360) 425-6111
Fax: (360) 636-1297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X RN00120002 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP30003667 Washington

Profile Details

NPI number 1053302778
LBN Legal business name Freeman, Joanne Aletha
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2005
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053302778 NPPES
Washington Other 129607 WA LABOR & INDUSTRIES
Washington MEDICAID 9615436 WA LABOR & INDUSTRIES
Washington MEDICAID 036033 WA LABOR & INDUSTRIES

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