Provider Demographics
NPI:1861127722
Name:FREIZE, KRISTI LEEANN (RN)
Entity type:Individual
Prefix:
First Name:KRISTI
Middle Name:LEEANN
Last Name:FREIZE
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 1:4606 SANDRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:OBETZ
Mailing Address - State:OH
Mailing Address - Zip Code:43207-4596
Mailing Address - Country:US
Mailing Address - Phone:614-212-0532
Mailing Address - Fax:
Practice Address - Street 1:4606 SANDRIDGE ST
Practice Address - Street 2:
Practice Address - City:OBETZ
Practice Address - State:OH
Practice Address - Zip Code:43207-4596
Practice Address - Country:US
Practice Address - Phone:614-212-0532
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH388667163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse