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General NPI Number Information
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NPI Number | 1316224835
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Entity Type | Individual
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Provider Name | ALISA KAY FRIERSON APRN
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Gender | Female
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Dates
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Enumeration Date | 11/11/2011
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 313 N GILBERT RD STE 300
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City | GILBERT
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State | AZ
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Zip | 85234-5998
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Country | US
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Telephone | 480-256-8002
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Fax |
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Provider Business Mailing Address
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Address Line | 313 N GILBERT RD STE 300
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City | GILBERT
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State | AZ
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Zip | 85234-5998
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Country | US
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Telephone | 480-256-8002
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN 218717
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | AP8408
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License Number State | AZ
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