Individual provider · Type 1 NPI
Michael Fressola, ACNP
Acute Care Nurse Practitioner · Brookfield, IL
NPI number
1104068204
Active
Practice location
3623 S. Forest Avenue
Brookfield, IL 60513-1286
Fax (708) 485-2300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209007505 (IL) |
Acute Care Nurse Practitioner: Definition to come...
About NPI 1104068204
Michael Fressola, ACNP's National Provider Identifier is 1104068204, issued on Apr 3, 2009. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Brookfield, IL. The record was last updated on Apr 3, 2009.