Individual
IRIS FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9208 OREGOLD CT, LAUREL, MD 20708-2852
(256) 400-9494
Mailing address
9208 OREGOLD CT, LAUREL, MD 20708-2852
(256) 400-9494
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2-074291
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2-074291
ALABAMA BOARD OF NURSING
AL
Enumeration date
06/19/2022
Last updated
06/19/2022
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