Healthcare Provider Details

I. General information

NPI: 1659455947
Provider Name (Legal Business Name): KATHERINE FRISCH RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BERLIN HEALTH CENTER 9730 HEALTHWAY DRIVE
BERLIN MD
21811
US

IV. Provider business mailing address

36161 WINDMERE CT
WILLARDS MD
21874-1198
US

V. Phone/Fax

Practice location:
  • Phone: 410-629-0164
  • Fax: 410-629-0185
Mailing address:
  • Phone: 410-835-0149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License NumberR145317
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: