Individual
ASHLEY RENEE FRIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1300 N MARKET ST, SPARTA, IL 62286-1048
(618) 443-2177
Mailing address
3743 OLD SAINT LOUIS RD, OAKDALE, IL 62268-1115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209025933
IL
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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