Provider Demographics
NPI:1952705592
Name:FROESE, ANDREA M (FNP-BC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:M
Last Name:FROESE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5151 TROOST AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64110-2543
Mailing Address - Country:US
Mailing Address - Phone:816-237-1616
Mailing Address - Fax:816-237-1655
Practice Address - Street 1:5151 TROOST AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64110-2543
Practice Address - Country:US
Practice Address - Phone:816-237-1616
Practice Address - Fax:816-237-1655
Is Sole Proprietor?:No
Enumeration Date:2014-10-10
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2014031463363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily