Individual
KYRA FRIESEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(817) 926-2544
Mailing address
428 SQUAW CREEK RD, WILLOW PARK, TX 76087-8246
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1242603
TX
Other
Enumeration date
07/15/2026
Last updated
07/15/2026
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