Individual
ALLYSON FRIEDERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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