| Doctor Name: | MR. DOUGLAS E FRY |
| NPI Number: | 1427024454 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CRNP |
| License Number: | RN247115L |
| Business Practice Address: | 231 Avon Rd Narberth, PA - 19072 |
| Business Phone Number: | 2672630657 |
| Business Fax Number: | 2672630667 |
| Mailing Address: | 231 Avon Rd, NARBERTH |
| State: | PA |
| Postal Code: | 19072 |
| Phone Number: | 2672630657 |
| Fax Number: | 2672630667 |
| NPI Enumeration Date: | 02/28/2006 |
| NPI Last Update Date: | 07/10/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0808X |
| License Number: | RN247115L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |