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:
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Health care specialties

SpecialtyCodeLicense #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 4 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 1417925850 NPPES
Washington MEDICAID 1107135

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