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NPI Code Detail

MEDICARE: BRIANNA FREDERICK APRN (AGNP-C)

MEDICARE: BRIANNA FREDERICK APRN (AGNP-C)
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner2025049901MO
2163W00000XRegistered Nurse13144754042KS

General Provider Information

NPI Number : 1619837689
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIANNA FREDERICK APRN (AGNP-C)
Provider Business Mailing Address
First Line : 14304 STEARNS ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66221-7544
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3521 NE RALPH POWELL RD
Second Line :
City : LEES SUMMIT
State : MO
Zip : 64064-2337
Country : US
Telephone Number : 816-533-4398
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 03/03/2026

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Directions to “ BRIANNA FREDERICK APRN (AGNP-C)” Practice Location

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