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NPI Code Detail

MEDICARE: TIFFANE FRIESEN

MEDICARE:   TIFFANE  FRIESEN
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1922881424
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANE FRIESEN
Provider Business Mailing Address
First Line : 100 WESTWOODS DR
Second Line :
City : LIBERTY
State : MO
Zip : 64068-1181
Country : US
Telephone Number : 816-781-8550
Fax Number :
Provider Business Practice Location Address
First Line : 7200 NW 86TH ST STE D
Second Line :
City : KANSAS CITY
State : MO
Zip : 64153-2262
Country : US
Telephone Number : 816-781-8550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 08/17/2023

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Directions to “ TIFFANE FRIESEN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.