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CAMILLE FREDE PA NPI 1902513518


NPI Information

NPI: 1902513518
Provider Name: CAMILLE FREDE, PA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
1551 PROFESSIONAL LN
LONGMONT, CO
ZIP 80501
Phone: (720) 848-0000
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Camille Frede, PA is a surgical physician assistant in Longmont, CO with 3 years of experience. Camille Frede, PA NPI is 1902513518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WESTERN MICHIGAN UN HOMER STRYKER SCHOOL OF MED
Graduation Year:2021

The provider's business location address is:

1551 PROFESSIONAL LN
LONGMONT, CO
ZIP 80501-972
Phone: (720) 848-0000

The NPI 1902513518 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2022 and was last updated on 1/12/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant0007533COLORADONo
2363AS0400XPhysician AssistantSurgicalPA.0007533COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.