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Individual

MR. COREY BRIAN FRITZ

Active
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Individual

MR. COREY BRIAN FRITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACPNP

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN139407
GA
363LP0200X
Pediatric Nurse Practitioner
139407
GA
363LP0200X
Pediatric Nurse Practitioner
752986
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11021392
FL
363LP0222X
Critical Care Pediatric Nurse Practitioner
752986
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115641100
—
FL
Enumeration date
04/04/2006
Last updated
04/05/2023
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