Individual
MISS ABIGAYL FRIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1813 W KIRBY AVE STE 120, CHAMPAIGN, IL 61821
(217) 383-3131
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
(217) 902-5291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209018576
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209.018576
IL
Other
Enumeration date
09/13/2018
Last updated
12/05/2019
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