| Pedro Henrique De Freitas, FNP | |
|
9461 Deschutes Rd Ste 4, Palo Cedro, CA 96073-9761 | |
| (530) 547-5305 | |
| (563) 547-4110 |
| Full Name | Pedro Henrique De Freitas |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 9461 Deschutes Rd Ste 4, Palo Cedro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609369115 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | NP95009186 (California) | Primary |
| Entity Name | Ampla Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952333635 PECOS PAC ID: 5092619270 Enrollment ID: O20040225001116 |
| Entity Name | Redding Rancheria |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104859354 PECOS PAC ID: 7810969847 Enrollment ID: O20040810001377 |
| Entity Name | Gateway Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770993370 PECOS PAC ID: 3678886231 Enrollment ID: O20150724012377 |
| Mailing Address | Practice Location Address |
|---|---|
| Pedro Henrique De Freitas, FNP 2479 Maywood Ln, Redding, CA 96003-7343 Ph: (305) 726-5803 | Pedro Henrique De Freitas, FNP 9461 Deschutes Rd Ste 4, Palo Cedro, CA 96073-9761 Ph: (530) 547-5305 |
Mrs. Mindy Louise Crookham, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10622 Petunia Ln, Suite D, Palo Cedro, CA 96073 Phone: 530-549-4594 | |
Ashley Dyan Breshears, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9461 Deschutes Rd Ste 4, Palo Cedro, CA 96073 Phone: 530-547-5305 |