EBONI BROWN FREEMAN


Address: 455 Pennsylvania Ave, Suite 105, Fort Washington, PA 19034-3403
Phone: 2157934546

EBONI BROWN FREEMAN (NPI# 1083939235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083939235
Entity Type Individual
Full Name EBONI BROWN FREEMAN
Credential CRNP
Practice Address 455 Pennsylvania Ave
Suite 105
Fort Washington
PA 19034-3403
Practice Telephone 2157934546
Practice Fax Number 2157939007
Mailing Telephone 2157934546
Mailing Fax Number 2157939007
Enumeration Date 2010-03-31
Last Update Date 2010-03-31
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
SP010648 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 455 PENNSYLVANIA AVE
SUITE 105
City FORT WASHINGTON
State PA
Zip Code 19034-3403

Providers in the same location

NPI Name Taxonomy Address Enumeration
1265465033 Nathan Read Howe Dermatology 455 Pennsylvania Ave, Suite 127, Fort Washington, PA 19034-3403 2006-07-07
1295335321 Katherine Caulfield Gentile Psychologist 455 Pennsylvania Ave, Fort Washington, PA 19034-3403 2020-10-28
1639624505 Rachel Rizzi Acupuncturist 455 Pennsylvania Ave, Suite 290, Fort Washington, PA 19034-3403 2016-08-22
1871048744 Great Spring Acupuncture, LLC Acupuncturist 455 Pennsylvania Ave, Suite 290, Fort Washington, PA 19034-3403 2016-08-22
1316378268 Cassie Blanchard Psychologist 455 Pennsylvania Ave, Suite 115, Fort Washington, PA 19034-3403 2013-12-03
1598104416 Shana Jean Schwartz Social Worker 455 Pennsylvania Ave, Suite 250, Fort Washington, PA 19034-3403 2013-06-25
1528374451 Katherine Victoria Moran Physician Assistant 455 Pennsylvania Ave, Suite 105, Fort Washington, PA 19034-3403 2010-08-30
1225263585 Katherine M Foster Social Worker 455 Pennsylvania Ave, Suite 105, Fort Washington, PA 19034-3403 2009-05-15
1467693929 Barbara Hermey Psychologist 455 Pennsylvania Ave, Suite 105, Fort Washington, PA 19034-3403 2009-03-13
1073763603 Jeanette Chandlee Fahey Psychologist 455 Pennsylvania Ave, Suite 115, Fort Washington, PA 19034-3403 2008-09-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376038810 Child and Family Focus, Inc. Community/Behavioral Health 800 Losh Alsh Avenue, Fort Washington, PA 19034 2018-06-27
1902398688 Axia Ambulatory Surgery Center Clinic/Center 476 Pennsylvania Ave, Suite 202b, Fort Washington, PA 19034 2018-05-30
1336691245 Elverl Fully Registered Nurse 500 Office Center Drive, Suite 400, The Ellison's Nursing Group, LLC, Fort Washington, PA 19034 2016-10-26
1881140028 Sulvena Pierre Licensed Practical Nurse 500 Office Center Drive, Suite 400 Fort Washington, Fort Washington, PA 19034 2016-08-28
1730536145 Robert Slauch Dentist 467 Pennsylvania Ave Ste 201, Fort Washington, PA 19034 2016-05-16
1699145821 Anna Oldfield Nurse Practitioner 735 Susquehanna Rd, Fort Washington, PA 19034 2015-09-30
1598149247 Victoria T Adepoju Licensed Practical Nurse 500 Office Centre Drive Suite 400, Fort Washinghton, PA 19034 2015-07-13
1700210408 Wendy Lynn Holmes Physical Therapy Assistant 735 Susquehanna Rd., Fort Washington Estates, Fort Washington, PA 19034 2013-08-29
1629316567 The Ellison Nursing Group Licensed Practical Nurse 500 Office Center Drive, Suite 400, Fort Washington, PA 19034 2013-01-28
1841540416 Barbara Portnoy Dentist 1244 Ft. Washington Ave., Suite M-1, Fort Washington, PA 19034 2012-09-11
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City FORT WASHINGTON
Zip Code 19034

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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