Individual
GREGG ERNEST FRIESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN ARNP
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
13-54146-101
KS
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
74758
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100392340A
—
KS
Enumeration date
12/01/2005
Last updated
03/07/2023
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