Individual
MRS. NICOLE M FRIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2017001282
MO
363L00000X
Nurse Practitioner
2021031647
MO
363LN0000X
Neonatal Nurse Practitioner
Primary
2021031647
MO
Other
Enumeration date
05/04/2021
Last updated
01/21/2022
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