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NPI Code Detail

MEDICARE: HAILEAH FRIEND FNP-BC

MEDICARE:   HAILEAH  FRIEND  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
1363LF0000XFamily Nurse Practitioner71011090AIN
2363LP2300XPrimary Care Nurse Practitioner4704420364MI

General Provider Information

NPI Number : 1164005971
Entity Type Code : Individual
Provider Name (Legal Business Name) : HAILEAH FRIEND FNP-BC
Provider Business Mailing Address
First Line : 7365 N 800 W
Second Line :
City : ORLAND
State : IN
Zip : 46776-9693
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1211 STATELINE RD
Second Line :
City : NILES
State : MI
Zip : 49120-4729
Country : US
Telephone Number : 269-684-2810
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2021
Last Update Date : 09/05/2024

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Directions to “ HAILEAH FRIEND FNP-BC” Practice Location

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