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

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X209007505 (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.