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Individual

MS. LINDA GRACE FREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSN, FNP-BC, RNFA

Contact information

Practice address
18100 E 215TH ST, PECULIAR, MO 64078-9200
(816) 304-7107
(816) 380-6529
Mailing address
18100 E 215TH ST, PECULIAR, MO 64078-9200
(816) 304-7107
(816) 380-6529

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
14-97759-112
KS
363LF0000X
Family Nurse Practitioner
Primary
146414
MO
363LF0000X
Family Nurse Practitioner
46307
KS

Other

Enumeration date
07/04/2006
Last updated
02/16/2009
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