Doctor Name: | MS. PEGGY ANN FRISCH |
NPI Number: | 1699172569 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | R 086741-8 |
Business Practice Address: | 2300 County Road 29 Sandstone, MN - 550725161 |
Business Phone Number: | 3202456237 |
Business Fax Number: | |
Mailing Address: | 67998 Norholm Ln, FINLAYSON |
State: | MN |
Postal Code: | 557354089 |
Phone Number: | 3202165327 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2014 |
NPI Last Update Date: | 11/20/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R 086741-8 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |