Individual
ALLYSON FRIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-2563
(317) 222-2154
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435
(317) 777-6644
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
28229935A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010107A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300039313
—
IN
Enumeration date
05/20/2020
Last updated
02/08/2024
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