Tony Froeschle, EDUCATIONAL DIAG.

Individual provider Active NPI Health Educator · El Prado, NM

NPI 1841523925 · NPPES record last updated Sep 10, 2014

Key facts

NPI
1841523925
Entity type
Individual (NPI type 1)
Primary specialty
Health Educator 174H00000X
License
335784 (NM)
Practice address
448A Statehighway 150
Dos Carpinteros
El Prado, NM 87529-1276
Phone
(575) 779-9695
NPI assigned
Sep 8, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
335784NMMDHealth Educator

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 335784 NM Yes

Addresses

Primary practice location

448A Statehighway 150
Dos Carpinteros
El Prado, NM 87529-1276

Mailing address

PO Box 1276
El Prado, NM 87529-1276
Phone (575) 779-9695

Other providers in El Prado, NM

All providers in El Prado, NM · Health Educator in New Mexico

Sources for this page

Verify at the official NPI Registry.