Provider Demographics
NPI:1386442978
Name:FRILEY, KRISTIAN ELISE (RN)
Entity type:Individual
Prefix:
First Name:KRISTIAN
Middle Name:ELISE
Last Name:FRILEY
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:KRISTIAN
Other - Middle Name:ELISE
Other - Last Name:STANLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6472 BARR PT
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80924-4558
Mailing Address - Country:US
Mailing Address - Phone:225-610-5967
Mailing Address - Fax:
Practice Address - Street 1:6472 BARR PT
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80924-4558
Practice Address - Country:US
Practice Address - Phone:225-610-5967
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN1655619163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory