Provider Demographics
NPI:1033102595
Name:FRIEL, MARGARET BOYLE (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:BOYLE
Last Name:FRIEL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2265 WADDY RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40342-9252
Mailing Address - Country:US
Mailing Address - Phone:502-839-8701
Mailing Address - Fax:
Practice Address - Street 1:2265 WADDY RD
Practice Address - Street 2:
Practice Address - City:LAWRENCEBURG
Practice Address - State:KY
Practice Address - Zip Code:40342-9252
Practice Address - Country:US
Practice Address - Phone:502-839-8701
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY333P363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78000015Medicaid
0212205Medicare ID - Type Unspecified
R36879Medicare UPIN
KY78000015Medicaid