Individual
KRISTIN ALICIA SCOLARICI FRJELICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
150 LYLE CURTIS CIR, WAYNESVILLE, MO 65583-2519
(618) 550-9892
Mailing address
150 LYLE CURTIS CIR, WAYNESVILLE, MO 65583-2519
(618) 550-9892
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2016035213
MO
363L00000X
Nurse Practitioner
209014986
IL
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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