Friesen, Pamela M.

Friesen, Pamela M. is an individual health care provider with primary practice located at 1601 Golf Course Rd , Grand Rapids MN 55744-8648. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Friesen, Pamela M. can be contacted via phone (218) 326-5000.

Contact Information

Primary practice address
1601 Golf Course Rd Grand Rapids MN 55744-8648
Phone: (218) 326-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X Minnesota

Profile Details

NPI number 1700862562
LBN Legal business name Friesen, Pamela M.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2005
Last updated Jul 21st, 2022 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700862562 NPPES
Minnesota MEDICAID 328524300

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