Individual
GRACE ERIN FREVERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 HITT ST, COLUMBIA, MO 65212-0001
(573) 882-2272
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2014005223
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
2025029583
MO
Other
Enumeration date
03/13/2025
Last updated
08/18/2025
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