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Individual

KIRSTEN WILLE FRIDDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
8401 PICARDY AVE, BATON ROUGE, LA 70809-3685
(225) 308-0247
(225) 308-0249
Mailing address
PO BOX 4176, HOUMA, LA 70361-4176
(985) 876-0300
(985) 872-0317

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09343
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2456784
LA
Enumeration date
10/08/2017
Last updated
01/03/2018
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