BROCK FREIDENBERGER PMHNP NPI 1942022827

NPI Information

  • NPI: 1942022827
  • Provider Name: BROCK FREIDENBERGER, PMHNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 550 E 1400 N STE T
    LOGAN, UT
    ZIP 84341
  • Phone: (435) 716-1320

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NPI Details

Brock Freidenberger, PMHNP is a psychiatric/mental health nurse practitioner in Logan, UT. Brock Freidenberger, PMHNP NPI is 1942022827. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

550 E 1400 N STE T
LOGAN, UT
ZIP 84341-450
Phone: (435) 716-1320

The enumeration date for this NPI number is 10/30/2024 and was last updated on 12/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LP0808XNurse PractitionerPsychiatric/Mental Health14192566-4405UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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