Provider Demographics
NPI:1881696201
Name:FRIELING, LEIGH ELLEN (RN, MS, CPNP)
Entity type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:ELLEN
Last Name:FRIELING
Suffix:
Gender:F
Credentials:RN, MS, CPNP
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Mailing Address - Street 1:501 MIDWESTERN PKWY E
Mailing Address - Street 2:PEDIATRICS
Mailing Address - City:WICHITA FALLS
Mailing Address - State:TX
Mailing Address - Zip Code:76302-2302
Mailing Address - Country:US
Mailing Address - Phone:940-397-5470
Mailing Address - Fax:940-397-5496
Practice Address - Street 1:501 MIDWESTERN PKWY E
Practice Address - Street 2:PEDIATRICS
Practice Address - City:WICHITA FALLS
Practice Address - State:TX
Practice Address - Zip Code:76302-2302
Practice Address - Country:US
Practice Address - Phone:940-397-5470
Practice Address - Fax:940-397-5496
Is Sole Proprietor?:No
Enumeration Date:2005-08-15
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX654585363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics