Individual
MARY K FREIBURGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
ONE HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-3818
(573) 884-4609
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
100579
MO
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
100579
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
159754
BLUE SHIELD/BLUE CHOICE
MO
05
—
425869401
—
MO
01
—
484190
HEALTHLINK
MO
Enumeration date
06/01/2006
Last updated
05/13/2019
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