Mitchell Bruno- Frederiksen

Peer Specialist · Coventry Township, OH

Individual Active NPI

NPI number 1811685464

Practice location

648 Cove Blvd
Coventry Township, OH 44319-1042
Phone
(330) 553-4584

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NPI record

NPI
1811685464
Entity type
Individual (Type 1)
Enumeration date
May 1, 2023
Last updated
May 1, 2023
Certified
May 1, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —

About Mitchell Bruno- Frederiksen

Mitchell Bruno- Frederiksen is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 648 Cove Blvd, Coventry Township, OH 44319-1042. The NPI number 1811685464 was assigned on May 1, 2023 and the record was last updated on May 1, 2023.

Frequently asked questions

What is the NPI number of Mitchell Bruno- Frederiksen?

The NPI number is 1811685464.

What is the phone number of Mitchell Bruno- Frederiksen?

The phone number listed for the practice location is (330) 553-4584.

Where is Mitchell Bruno- Frederiksen located?

648 Cove Blvd, Coventry Township, OH 44319-1042.

What is the taxonomy code for Mitchell Bruno- Frederiksen?

The primary taxonomy code is 175T00000X – Peer Specialist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Peer Specialist providers in Coventry Township

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