Healthcare Provider Details

I. General information

NPI: 1932890399
Provider Name (Legal Business Name): HOLLY N FRISCHMON DNAP, APRN, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 07/27/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BUNKER HILL DR
AITKIN MN
56431-1865
US

IV. Provider business mailing address

PO BOX 64
IRONTON MN
56455-0064
US

V. Phone/Fax

Practice location:
  • Phone: 218-927-2121
  • Fax:
Mailing address:
  • Phone: 507-261-8247
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number2368630
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2863
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: