Justine R Froude, IDMT
Military Health Care Provider, Independent Duty Medical Technicians in McConnell Afb, KS. Individual provider (NPI-1).
NPI number1568960342
StatusActive
Last updated in NPPESJan 26, 2018
Details
- NPI
- 1568960342
- Entity type
- Individual (NPI-1)
- Name
- Justine R Froude
- Credential
- IDMT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 26, 2018
- Last updated
- Jan 26, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1710I1003X | Military Health Care Provider, Independent Duty Medical Technicians | – | – | Yes |
Practice location
57950 Leavenworth StMcConnell Afb, KS 67221-3506
Phone 316-759-4648
Mailing address
2425 N Newberry St Apt 3102Derby, KS 67037-4404
Phone 816-877-1313
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Independent Duty Medical Technicians providers in McConnell Afb · All 96 providers in McConnell Afb
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