Summer Friis, RN
Individual provider Active NPI Home Health Registered Nurse · West Branch, IA
NPI 1861080855 · NPPES record last updated Jan 5, 2021
Key facts
- NPI
- 1861080855
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Registered Nurse 163WH0200X
- License
- 159562 (IA)
- Practice address
- 110 Madison LN
West Branch, IA 52358-8800 - Phone
- (214) 784-7316
- NPI assigned
- Jan 5, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 159562 | IA | MD | Home Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse |
163WM0705X | 159562 | IA | |
| Home Health Registered Nurse |
163WH0200X | 159562 | IA | Yes |
Addresses
Primary practice location
110 Madison LN
West Branch, IA 52358-8800
Mailing address
110 Madison LN
West Branch, IA 52358-8800
Phone (214) 784-7316
Other providers in West Branch, IA
- Tanya R English
- Families, Inc.
- Families, Inc.
- Families, Inc.
- Family Advocate & Navigator of Services
- Sheila Gluesing
- Lana Godlewski
- Amy C Gosnell
- Kyle Christopher Haganman
- Brad E Heithoff
All providers in West Branch, IA · Home Health Registered Nurse in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.