Individual
MS. PENNY S. FRICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.,M.S.N.,CFNP
Contact information
Practice address
2532 FARRAGUT DR, SPRINGFIELD, IL 62704-1433
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 528-8962
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
209003043
IL
Other
Enumeration date
12/15/2005
Last updated
05/22/2020
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