Provider Demographics
NPI:1003399122
Name:FRIEDRICH, ALANNA MARIE (PA-C)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:MARIE
Last Name:FRIEDRICH
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALANNA
Other - Middle Name:MARIE
Other - Last Name:TRETTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2944 BRECKENRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40220-1409
Mailing Address - Country:US
Mailing Address - Phone:502-995-5525
Mailing Address - Fax:
Practice Address - Street 1:2944 BRECKENRIDGE LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40220-1409
Practice Address - Country:US
Practice Address - Phone:502-995-5525
Practice Address - Fax:502-495-3717
Is Sole Proprietor?:No
Enumeration Date:2018-09-14
Last Update Date:2022-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant