Individual
LYNAE RACHELLE FRIEND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1100 SOUTH SPRINGFIELD AVE, SUITE B, BOLIVAR, MO 65613
(417) 326-7272
(417) 326-2193
Mailing address
18614 JACKSON STREET, PO BOX 125, HERMITAGE, MO 65668
(833) 789-5933
(417) 745-0056
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021016655
MO
Other
Enumeration date
06/18/2021
Last updated
06/18/2021
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