# MS. MINDI MARIE FRY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447560669
- **Gender:** F
- **Credential:** CRNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 0001221226 | VA | — |
| 363L00000X | Nurse Practitioner | 0024177908 | VA | Yes |
| 363L00000X | Nurse Practitioner | SP010900 | PA | — |

## Other

- **Enumeration date:** 10/21/2010
- **Last updated:** 05/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 103129038 | — | PA |