Provider Demographics
NPI:1033984455
Name:FRIERSON, KHALINA M
Entity Type:Individual
Prefix:
First Name:KHALINA
Middle Name:M
Last Name:FRIERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SERENITY
Other - Middle Name:FAITHFUL HANDS
Other - Last Name:HOMECARE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:7 TROY ST
Mailing Address - Street 2:
Mailing Address - City:DUQUESNE
Mailing Address - State:PA
Mailing Address - Zip Code:15110-1625
Mailing Address - Country:US
Mailing Address - Phone:724-400-0880
Mailing Address - Fax:
Practice Address - Street 1:7 TROY ST
Practice Address - Street 2:
Practice Address - City:DUQUESNE
Practice Address - State:PA
Practice Address - Zip Code:15110-1625
Practice Address - Country:US
Practice Address - Phone:724-400-0880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-15
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide