Individual provider · Type 1 NPI

Mary Lou Freitag

Nurse Practitioner · Myrtle Point, OR

NPI number 1962090621 Active

Practice location

324 4th St
Myrtle Point, OR 97458-1074

Mailing address

1900 Woodland Dr
Coos Bay, OR 97420-2099

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X202010537NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

5 other providers at this address

About NPI 1962090621

Mary Lou Freitag's National Provider Identifier is 1962090621, issued on Jan 7, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Myrtle Point, OR. The record was last updated on Jul 8, 2021.