Provider Demographics
NPI:1336605948
Name:FRERICHS, BRITTANY RENEE (PA-C)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:RENEE
Last Name:FRERICHS
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:RENEE
Other - Last Name:FRUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DRIVE
Mailing Address - Street 2:DEPT INTERNAL MEDICINE SE 636 GH
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242
Mailing Address - Country:US
Mailing Address - Phone:319-356-4019
Mailing Address - Fax:319-353-8073
Practice Address - Street 1:200 HAWKINS DRIVE
Practice Address - Street 2:DEPT INTERNAL MEDICINE SE 636 GH
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242
Practice Address - Country:US
Practice Address - Phone:319-356-4019
Practice Address - Fax:319-353-8073
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA095036363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant