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NPI Code Detail

MEDICARE: MS. KATHARINA MARIA FRIEDLY RN

MEDICARE:  MS. KATHARINA MARIA FRIEDLY  RN
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
1163WC1600XContinuing Education/Staff Development Registered NurseRN. 215290OH
2163WH0200XHome Health Registered NurseRN. 215290OH
3163WN1003XNutrition Support Registered NurseRN. 215290OH
4163WP0200XPediatric Registered NurseRN. 215290OH
5163WP0808XPsychiatric/Mental Health Registered NurseRN. 215290OH
6163WX1100XOphthalmic Registered NurseRN. 215290OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679599831
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHARINA MARIA FRIEDLY RN
Provider Business Mailing Address
First Line : 2630 PINEGROVE DR
Second Line :
City : DAYTON
State : OH
Zip : 45449-3347
Country : US
Telephone Number : 937-434-8807
Fax Number :
Provider Business Practice Location Address
First Line : 2630 PINEGROVE DR
Second Line :
City : DAYTON
State : OH
Zip : 45449-3347
Country : US
Telephone Number : 937-434-8807
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2006
Last Update Date : 09/11/2025

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Directions to “ MS. KATHARINA MARIA FRIEDLY RN” Practice Location

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