Doctor Name: | KAREN LYLE ROBERTS FRY |
NPI Number: | 1124158126 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, CRNP |
License Number: | 1084486 |
Business Practice Address: | 1002 1st Street N Suite 301 Alabaster, AL - 35007 |
Business Phone Number: | 2056217915 |
Business Fax Number: | 2056202503 |
Mailing Address: | 1022 1st St N, Suite 301 ALABASTER |
State: | AL |
Postal Code: | 350078706 |
Phone Number: | 2056217918 |
Fax Number: | 2056202503 |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 04/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LX0001X |
License Number: | 1084486 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Obstetrics & Gynecology |
Taxonomy Definition: |