Individual
MR. MICHAEL K FRIZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
77 WAINWRIGHT DR VA MEDICAL CENTER, JONATHAN M WAINWRIGHT MEMORIAL, WALLA WALLA, WA 99362-9814
(503) 440-3578
Mailing address
8875 ELLSWORTH CT NE, 503, LACEY, WA 98516-3883
(503) 440-3578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
200843205RN
OR
363LF0000X
Family Nurse Practitioner
2962202
FL
363LF0000X
Family Nurse Practitioner
Primary
60101140
WA
363LF0000X
Family Nurse Practitioner
737610
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200843205RN
VETERAN ADMIN
OR
01
—
2962202
MILITARY PRACTICE ONLY
FL
01
—
60101140
VETERAN ADMIN
WA
01
—
737610
PRIVATE PRACTICE ONLY
TX
Enumeration date
07/31/2008
Last updated
10/21/2009
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