Individual
BRETTE NICOLE FRYFOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2660 W SUGNET ROAD, MIDLAND, MI 48670-9475
(989) 488-5470
(989) 488-5475
Mailing address
2660 W SUGNET RD, MIDLAND, MI 48640-2647
(989) 600-5735
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704312646
MI
Other
Enumeration date
11/17/2020
Last updated
08/06/2021
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