Doctor Name: | DIANNE T, FRYE |
NPI Number: | 1285652727 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN FNP-BC |
License Number: | 62597 |
Business Practice Address: | 204 S Mountain Ave Mount Hope, WV - 258801129 |
Business Phone Number: | 3048779133 |
Business Fax Number: | 3048772165 |
Mailing Address: | Po Box 337, SCARBRO |
State: | WV |
Postal Code: | 259170337 |
Phone Number: | 3044692905 |
Fax Number: | 3044655486 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 62597 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |