MEDICARE: ANDREA M. FROESE FNP-BC

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
1	363LF0000X	Family Nurse Practitioner	2014031463	MO

General Provider Information

NPI Number	:	1952705592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA M. FROESE FNP-BC

Provider Business Mailing Address
First Line	:	5151 TROOST AVE
Second Line	:	SUITE 200
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-2543
Country	:	US
Telephone Number	:	816-237-1616
Fax Number	:	816-237-1655

Provider Business Practice Location Address
First Line	:	5151 TROOST AVE
Second Line	:	SUITE 200
City	:	KANSAS CITY
State	:	MO
Zip	:	64110-2543
Country	:	US
Telephone Number	:	816-237-1616
Fax Number	:	816-237-1655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2014
Last Update Date	:	01/24/2022

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