MILADYS A FRIESEN


Address: 410 E. Pioneer Pkwy, Suite 300, Grand Prairie, TX 75071
Phone: 4697331890

MILADYS A FRIESEN (NPI# 1851698948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851698948
Entity Type Individual
Full Name MILADYS A FRIESEN
Credential FNP
Practice Address 410 E. Pioneer Pkwy
Suite 300
Grand Prairie
TX 75071
Mailing Address 222 W. Las Colinas Blvd
Suite 2000
Irving
TX 75039
Practice Telephone 4697331890
Practice Fax Number 4697331894
Mailing Telephone 9729573000
Mailing Fax Number 4697331894
Enumeration Date 2011-02-25
Last Update Date 2017-05-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP114166 TX Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
532229 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 410 E. PIONEER PKWY
SUITE 300
City GRAND PRAIRIE
State TX
Zip Code 75071

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1316554264 Kellie Ruth King Nurse Practitioner 7043 Miramar, Grand Prairie, TX 75054-5563 2020-09-24
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1144867482 Terrinne Elaine Craft Nurse Practitioner 2640 Windward Dr, Grand Prairie, TX 75054-7224 2019-12-05
1235774993 Anthony K Ngoo Nurse Practitioner 2856 Conrad Ln, Grand Prairie, TX 75052-8531 2019-11-16
1649829862 Tatiana Alawadat Nurse Practitioner 7031 Northstar Dr, Grand Prairie, TX 75054-7239 2019-09-10
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1457912446 Cynthia Diann Smalling Nurse Practitioner 2014 Juniper Dr, Grand Prairie, TX 75050-2206 2019-06-21
1861954802 Lara G Stahl Nurse Practitioner 1701 W Marshall Dr Bldg M-1, Grand Prairie, TX 75051-2704 2019-04-01
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Competitor

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City GRAND PRAIRIE
Zip Code 75071

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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