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Individual
BRIANNA FREDERICK
Active
Individual
BRIANNA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN (AGNP-C)
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13144754042
KS
363LA2200X
Adult Health Nurse Practitioner
Primary
2025049901
MO
Other
Enumeration date
11/13/2025
Last updated
03/03/2026
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