Natasha Brooke Fresenburg, PA-C Valid NPI

Individual provider · Physician Assistant · O Fallon, MO

NPI

1780020495

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

2015008258 (MO)

Sex

Female

Sole proprietor

No

Enumerated

2013-05-21

Last updated

2023-03-02