CHRISTINA GOUDREAU FREILE PA-C NPI 1962024521

NPI Information

NPI: 1962024521
Provider Name: CHRISTINA GOUDREAU FREILE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610
Phone: (919) 350-1570
Get Directions

Christina Goudreau Freile, PA-C is a surgical physician assistant in Raleigh, NC with 5 years of experience. Christina Goudreau Freile, PA-C NPI is 1962024521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

23 SUNNYBROOK RD
RALEIGH, NC
ZIP 27610-855
Phone: (919) 350-1570

The NPI 1962024521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2020 and was last updated on 9/26/2023.

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
1	363A00000X	Physician Assistant		0010-09746	NORTH CAROLINA	No
2	363AS0400X	Physician Assistant	Surgical	0010-09746	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1962024521	MEDICAID	NORTH CAROLINA

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: 5/5/2024

NPI Synchronization or Removal

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