Provider Demographics
NPI:1881705663
Name:FRIEND, EDITH RENEE (ARNP)
Entity type:Individual
Prefix:MS
First Name:EDITH
Middle Name:RENEE
Last Name:FRIEND
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:RENEE
Other - Middle Name:E
Other - Last Name:FRIEND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:1264 NE 64TH ST
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:IA
Mailing Address - Zip Code:50327-8868
Mailing Address - Country:US
Mailing Address - Phone:641-828-5016
Mailing Address - Fax:641-828-5066
Practice Address - Street 1:1515 W PLEASANT ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:IA
Practice Address - Zip Code:50138-3399
Practice Address - Country:US
Practice Address - Phone:641-828-5016
Practice Address - Fax:641-828-5066
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA-098063363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily