Provider Demographics
NPI:1194964809
Name:FREIBERGER, SHAUNA LYNNE (RN)
Entity type:Individual
Prefix:
First Name:SHAUNA
Middle Name:LYNNE
Last Name:FREIBERGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2504 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:OH
Mailing Address - Zip Code:45036-8766
Mailing Address - Country:US
Mailing Address - Phone:513-520-2746
Mailing Address - Fax:
Practice Address - Street 1:2504 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:OH
Practice Address - Zip Code:45036-8766
Practice Address - Country:US
Practice Address - Phone:513-520-2746
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.218020163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse