Doctor Name: | MRS. HEATHER DIXON FRYE |
NPI Number: | 1366752073 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PMHNP-BC |
License Number: | L8-0000105 |
Business Practice Address: | 2501 Oakington St Aberdeen Proving Ground, MD - 210055131 |
Business Phone Number: | 4102871815 |
Business Fax Number: | 4102876718 |
Mailing Address: | 2501 Oakington St, ABERDEEN PROVING GROUND |
State: | MD |
Postal Code: | 210055131 |
Phone Number: | 4102871815 |
Fax Number: | 4102876718 |
NPI Enumeration Date: | 10/15/2010 |
NPI Last Update Date: | 09/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | L8-0000105 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |