Johanna S. Fricke in Las Vegas - Developmental - Behavioral Pediatrics
Johanna S. Fricke - NPI 1801874631
Johanna S. Fricke is a Developmental - Behavioral Pediatrics in Las Vegas, Nevada. Johanna S. Fricke practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Johanna S. Fricke is 1801874631. The last update date is 2023-03-07.
Johanna S. Fricke's current location address is 331 N Buffalo Dr, Las Vegas, Nevada. You can contact this provider via phone number 7028772520 and fax number 7028772521. The mailing address for Johanna S. Fricke is 331 N Buffalo Dr, Las Vegas, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Johanna S. Fricke |
|---|---|
| Address | 331 N Buffalo Dr, Las Vegas, Nevada |
| Phone Number | 7028772520 |
| Fax Number | 7028772521 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1801874631 |
|---|---|
| Provider Enumeration Date | 2006-01-03 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 331 N Buffalo Dr |
|---|---|
| City | Las Vegas |
| State | Nevada (NV) |
| Post Code | 891450300 |
| Phone Number | 7028772520 |
| Fax Number | 7028772521 |
Provider's Primary Taxonomy Detail
| Speciality | Developmental - Behavioral Pediatrics |
|---|---|
| Taxonomy | 2080P0006X |
| Licence No | 3166 |
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Definition: A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2002223 | NV | -- | |
| CS09750 | NV | STATE PHARMACY |
Post Comment/ Review Below
What is the unique provider identifier assigned to Johanna S. Fricke?
The Johanna S. Fricke has been issued the NPI (National Provider Identifier) 1801874631 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Johanna S. Fricke is physically located?
The Johanna S. Fricke is physically situated at the following address: 331 N Buffalo Dr, Las Vegas, NV, 891450300.
What is the Johanna S. Fricke's area of specialization and corresponding taxonomy classification?
The Johanna S. Fricke's specialty field is Developmental - Behavioral Pediatrics, and it falls under the taxonomy code 2080P0006X, which categorizes healthcare providers based on their specialties.
When did the Johanna S. Fricke receive its 1801874631?
The Johanna S. Fricke was issued its 1801874631 on 2006-01-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Johanna S. Fricke last refreshed?
The information related to the Johanna S. Fricke, including its address, specialty, and other relevant details, was last updated on 2023-03-07.