| Ms Freaddie V Moore, CRNA | |
|
30200 Telegraph Road, 220, Bingham Farms, MI 48025-4502 | |
| (248) 258-5058 | |
| (248) 927-5058 |
| Full Name | Ms Freaddie V Moore |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 30200 Telegraph Road, Bingham Farms, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265542245 | NPI | - | NPPES |
| 4834216-10 | Medicaid | MI | |
| 11802435 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367H00000X | Anesthesiologist Assistant | 4704100987 (Michigan) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 4704100987 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Freaddie V Moore, CRNA 804 Scott Nixon Memorial Drive, Augusta, GA 30907-2464 Ph: (800) 394-4445 | Ms Freaddie V Moore, CRNA 30200 Telegraph Road, 220, Bingham Farms, MI 48025-4502 Ph: (248) 258-5058 |
Michele Burke, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Paul Santoro, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Philip Biland, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Timothy Marx, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Julie Staczek-marx, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Michael Bonds, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 30200 Telegraph Rd, Suite 220, Bingham Farms, MI 48025 Phone: 248-258-5058 | |
Treavor Eimers, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 30200 Telegraph Rd, #220, Bingham Farms, MI 48025 Phone: 248-258-5058 Fax: 248-927-5058 |