Provider Demographics
NPI:1710174248
Name:FRISELLA, BRITTANY N (APN)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:N
Last Name:FRISELLA
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:528 CASTLE WYND DR
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-8967
Mailing Address - Country:US
Mailing Address - Phone:815-985-3090
Mailing Address - Fax:
Practice Address - Street 1:4519 HIGHCREST RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-2225
Practice Address - Country:US
Practice Address - Phone:815-985-3090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL277000601363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily