MEDICARE: MRS. ANDREA LYNN FRIESEN RN, MSN, ARNP

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
1	163W00000X	Registered Nurse	RN00111921	WA
2	363LF0000X	Family Nurse Practitioner	AP30005339	WA

General Provider Information

NPI Number	:	1750374799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANDREA LYNN FRIESEN RN, MSN, ARNP

Provider Business Mailing Address
First Line	:	3308 214TH ST SW
Second Line	:
City	:	BRIER
State	:	WA
Zip	:	98036-6841
Country	:	US
Telephone Number	:	425-774-8536
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 SHELBY RD
Second Line	:	SUITE B
City	:	LYNNWOOD
State	:	WA
Zip	:	98087-3599
Country	:	US
Telephone Number	:	425-742-9119
Fax Number	:	425-787-1055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	09/11/2025

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