Individual
DEIDRA FRISBIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
415 N 9TH ST, SUITE 2W94, SPRINGFIELD, IL 62702-5303
(217) 545-8000
(217) 545-8115
Mailing address
415 N 9TH ST, PO BOX 19635, SPRINGFIELD, IL 62702-5303
(217) 545-8000
(217) 545-8115
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014831
IL
Other
Enumeration date
10/04/2016
Last updated
11/23/2016
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