Provider Demographics
NPI:1023137247
Name:FRENA, COLETTE B (NP)
Entity type:Individual
Prefix:
First Name:COLETTE
Middle Name:B
Last Name:FRENA
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:5855 OLIVAS PARK DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7672
Mailing Address - Country:US
Mailing Address - Phone:805-667-2801
Mailing Address - Fax:805-667-2865
Practice Address - Street 1:3555 LOMA VISTA RD STE 110
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-3161
Practice Address - Country:US
Practice Address - Phone:805-653-0303
Practice Address - Fax:805-642-1928
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2021-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN113806363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner