Basic Information
| Provider Information | |||||||||
| NPI: | 1508184805 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRIEDRICHS | ||||||||
| FirstName: | CHRISTINE | ||||||||
| MiddleName: | ANNE | ||||||||
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| Credential: | APRN, BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | N87W25165 WATERSEDGE DR | ||||||||
| Address2: | |||||||||
| City: | LISBON | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530891427 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2628208711 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | W180N8085 TOWN HALL RD | ||||||||
| Address2: | |||||||||
| City: | MENOMONEE FALLS | ||||||||
| State: | WI | ||||||||
| PostalCode: | 530513518 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2622573394 | ||||||||
| FaxNumber: | 2622537162 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/11/2010 | ||||||||
| LastUpdateDate: | 05/11/2010 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | 2125033 | WI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.