Individual
MRS. NICOLE M FRIEDERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, NNP
Contact information
Practice address
4401 WORNALL RD, KANSAS CITY, MO 64111-3220
(816) 932-2007
Mailing address
7740 HOWE DR, PRAIRIE VLG, KS 66208-4226
(816) 550-5353
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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