1851927164 NPI number — MRS. MARY THERESA DOWNEY-FREIMAN RN MSN OCN

Table of content: MRS. MARY THERESA DOWNEY-FREIMAN RN MSN OCN (NPI 1851927164)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851927164 NPI number — MRS. MARY THERESA DOWNEY-FREIMAN RN MSN OCN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOWNEY-FREIMAN
Provider First Name:
MARY
Provider Middle Name:
THERESA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
RN MSN OCN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DOWNEY
Provider Other First Name:
MARY
Provider Other Middle Name:
THERESA
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
RN BSN
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1851927164
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/18/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2004 SURREY RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ORELAND
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19075-1527
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-284-6994
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 HEALTH PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST HANOVER
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07936-1016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
862-778-8300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/18/2020

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WX0200X , with the licence number:  RN501789L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)