Provider Demographics
NPI:1831426279
Name:FREEDMAN, GAIL BARBARA (RN)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:BARBARA
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2673 THOMAS DR
Mailing Address - Street 2:
Mailing Address - City:MC FARLAND
Mailing Address - State:WI
Mailing Address - Zip Code:53558-9282
Mailing Address - Country:US
Mailing Address - Phone:608-838-1071
Mailing Address - Fax:
Practice Address - Street 1:2673 THOMAS DR
Practice Address - Street 2:
Practice Address - City:MC FARLAND
Practice Address - State:WI
Practice Address - Zip Code:53558-9282
Practice Address - Country:US
Practice Address - Phone:608-838-1071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI139537-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse