CHRISTIN FRIEDERICH


Address: 2016 Vadalabene Dr Ste B, Maryville, IL 62062-6901
Phone: 6182882970

CHRISTIN FRIEDERICH (NPI# 1114300381) 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) 1114300381
Entity Type Individual
Full Name CHRISTIN FRIEDERICH
Credential WHNP-BC
Practice Address 2016 Vadalabene Dr Ste B
Maryville
IL 62062-6901
Practice Telephone 6182882970
Practice Fax Number 6182883572
Mailing Telephone 6182882987
Mailing Fax Number 6182883572
Enumeration Date 2015-07-06
Last Update Date 2019-11-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
209012321 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL CONTROLLED SUBSTANCE LICENSE NUMBER 309014755 01
IL STATE LICENSE NUMBER 209012321 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
1031 Bellevue Ave, Ste 400, Saint Louis, MO 631171818 3149777455

Office Location

Street Address 2016 VADALABENE DR STE B
City MARYVILLE
State IL
Zip Code 62062-6901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104325091 Jennifer M Oyler Physician Assistant 6812 State Route 162 Suite 120, Maryville, IL 62062 2018-02-06
1710495965 Sarah Elizabeth Barto Family Medicine 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 2018-01-22
1104348085 Lindsey Nicole Langendorf Chiropractor 62 Executive Plaza Ct, Maryville, IL 62062 2017-07-12
1043750540 Gina Saal Nurse Anesthetist, Certified Registered 6800 Rt 162, Maryville, IL 62062 2017-03-02
1548657737 Karen Michelle Bertels Emergency Medicine 6800 Il - 162, Maryville, IL 62062 2015-04-25
1811258148 Debra Ann Hoelscher Internal Medicine 2102 Vadalabene, Maryville, IL 62062 2012-06-04
1538438445 Casey Elizabeth Wiesemeyer Speech-Language Pathologist 2201 Copper Creek Rd, Maryville, IL 62062 2011-12-21
1407144819 Norah Claire Farley Baker Family Medicine 10 Professional Park Dr., Maryville, IL 62062 2011-07-19
1891092474 Kimberly M Schneider Physician Assistant 20b Professional Park Drive, Maryville, IL 62062 2011-02-17
1669782397 Purandhri Patel Physical Therapist 6820 State Route 162, Maryville, IL 62062 2010-10-15
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Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982883807 Melissa Dawn Lewis-beeler Nurse Practitioner 270 Blount Memorial Hospital-pob, Maryville, TN 37804 2007-10-27
1386675783 Judy D Frueh Nurse Practitioner 800 University Dr, Maryville, MO 64468-6015 2006-07-05
1710940184 Amy Denise Jones Nurse Practitioner 417 E Lamar Alexander Pkwy, Maryville, TN 37804-5807 2006-04-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407455306 Megan Bishoff Nurse Practitioner 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 2020-10-21
1881292019 Dana Beth Yednock Nurse Practitioner 1444 E Broadway St, Streator, IL 61364-2535 2020-10-10
1154959864 Jennifer Marie Nieves Nurse Practitioner 34 E Oak St Ste 6, Chicago, IL 60611-1231 2020-03-29
1093340275 Nicole Price Nurse Practitioner 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 2020-03-07
1497318372 Rachael Elizabeth Thomas Nurse Practitioner 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 2019-04-17
1700358025 Cassandra Marie Johnson Nurse Practitioner 636 Hampshire St Ste 201, Quincy, IL 62301-3054 2018-12-27
1063990588 Lisa Hammons Nurse Practitioner 14470 S La Grange Rd, Orland Park, IL 60462-2630 2018-08-06
1750874459 Valerie Wezran Nurse Practitioner 3 Ontario St Apt 1, Oak Park, IL 60302-2573 2018-06-08
1033626262 Heather Ann San Juan Nurse Practitioner 613 S Poplar Ave, Elmhurst, IL 60126-4061 2018-01-09
1124530340 Kristy Wienstroer Nurse Practitioner 1191 Fortune Blvd, Shiloh, IL 62269-7377 2017-10-27
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Competitor

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City MARYVILLE
Zip Code 62062

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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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