Frew Fikru, NP
Nurse Practitioner, Primary Care in Revere, Massachusetts
1093341331- Practice location
- 529 Washington Ave Apt 2, Revere, MA 02151-1962
- Phone
- 617-230-0979
- Fax
- —
- Last updated
- March 18, 2020
Frew Fikru is a Nurse Practitioner, Primary Care based in Revere, MA. 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 (MA). The current practice location address for Frew Fikru is 529 Washington Ave Apt 2, Revere, MA 02151-1962 and can be reached out via phone at 617-230-0979.
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
- Primary Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 18, 2020
- Last Update Date
- March 18, 2020
- Certification Date
- March 18, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 529 Washington Ave Apt 2
Revere, MA 02151-1962 - City
- Revere
- State
- Massachusetts
- Zip
- 02151-1962
- Phone Number
- 617-230-0979
Provider Business Mailing Address Details
- Address
- 529 Washington Ave Apt 2
Revere, MA 02151-1962 - City
- Revere
- State
- MA
- Zip
- 02151-1962
- Phone Number
- 617-230-0979
License Information
- License Number
- AG111190002
- License State
- MA
- Taxonomy
- Nurse Practitioner, Primary Care · 363LP2300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Frew Fikru, NP?
The NPI number of Frew Fikru, NP is 1093341331. It was assigned on March 18, 2020 and is currently active in the NPPES registry.
What is the specialty of Frew Fikru, NP?
Frew Fikru, NP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in MA under license number AG111190002.
Where does Frew Fikru, NP practice?
The practice location is 529 Washington Ave Apt 2, Revere, MA 02151-1962. The office can be reached at 617-230-0979 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093341331 directly on the NPPES registry website.