person
Frew Fikru, NP
Primary Care Nurse Practitioner in Revere, Massachusetts
NPI 1093341331

Frew Fikru is a Primary Care Nurse Practitioner based in Revere, MA and is specialized in Primary Care. Frew Fikru practices in Revere, MA and has the professional credentials of NP. The NPI Number for Frew Fikru is 1093341331 and holds a License No. AG111190002 (Massachusetts).

The current practice location address for Frew Fikru is 529 Washington Ave Apt 2, Revere, MA and can be reached out via phone at 617-230-0979.

Location: 529 Washington Ave Apt 2, Revere, MA, 02151-1962
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Provider Profile Details
NPI Number
1093341331
Provider Name
Frew Fikru
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
529 Washington Ave Apt 2, Revere, MA, 02151-1962
Phone Number
617-230-0979
Fax Number
Provider Enumeration Date
03/18/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AG11190002 05 MA
AG11190002 01 PROFESSIONAL LICENSE
institution
Provider Business Practice Location Address Details
Address
529 Washington Ave Apt 2
City
State
Zip
02151-1962
Phone Number
617-230-0979
Fax Number
person
Provider Business Mailing Address Details
Address
529 Washington Ave Apt 2
City
State
Zip
02151-1962
Phone Number
617-230-0979
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
AG111190002 (Massachusetts)
Definition
Definition to come...
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