Individual
KRISTIE NICKOLE FRIEDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
300 S 8TH ST, SUITE 376 WEST, MURRAY, KY 42071-2400
(270) 762-1526
(270) 762-1529
Mailing address
300 S 8TH ST, SUITE 376 WEST, MURRAY, KY 42071-2400
(270) 762-1526
(270) 762-1529
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1340
AK
363LF0000X
Family Nurse Practitioner
14450
TN
363LF0000X
Family Nurse Practitioner
Primary
3008025
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517827
—
TN
01
—
3380640
MEDICAID GROUP
TN
Enumeration date
11/16/2009
Last updated
12/04/2020
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