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Individual

GREGG ERNEST FRIESEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN ARNP

Contact information

Practice address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6400
(316) 284-6491
Mailing address
1901 E 1ST ST, NEWTON, KS 67114-5010
(316) 284-6400
(316) 284-6490

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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