Individual
MRS. KATIE MARIE FRILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
901 E 5TH ST, WASHINGTON, MO 63090-3127
(636) 239-8301
Mailing address
339 CONSORT DR, BALLWIN, MO 63011-4439
(636) 386-9224
(636) 386-7679
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2002015463
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497923874
—
MO
01
—
P00651225
RAILROAD MEDICARE
MO
Enumeration date
02/19/2008
Last updated
02/10/2022
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