Friese, Amanda
Friese, Amanda is an individual health care provider with primary practice located at 560 Gage Blvd Suite 203, Richland WA 99352-8650. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Friese, Amanda can be contacted via phone (509) 942-3627.Contact Information
Primary practice address
560 Gage Blvd Suite 203
Richland WA 99352-8650
Phone: (509) 942-3627
Fax: (509) 628-1354
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10004387 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004387 | Washington |
Profile Details
NPI number | 1417925850 |
---|---|
LBN Legal business name | Friese, Amanda |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 10th, 2006 |
Last updated | May 18th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417925850 | NPPES |
Washington | MEDICAID | 1107135 |
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