Provider Demographics
NPI:1649937020
Name:FRIEDMAN, MARIAN (RN)
Entity type:Individual
Prefix:
First Name:MARIAN
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 HORSE PEN CREEK RD STE 105
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8390
Mailing Address - Country:US
Mailing Address - Phone:336-265-1762
Mailing Address - Fax:
Practice Address - Street 1:2723 HORSE PEN CREEK RD STE 105
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8390
Practice Address - Country:US
Practice Address - Phone:336-265-1762
Practice Address - Fax:336-510-1000
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-20
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5015642363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health