Individual
TRACY L FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1121 NEO LOOP, GROVE, OK 74344-6046
(877) 783-4441
Mailing address
61980 E 225 RD, WYANDOTTE, OK 74370-2917
(913) 660-8742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2017044184
MO
363LF0000X
Family Nurse Practitioner
5377388091
KS
363LF0000X
Family Nurse Practitioner
A005462
AR
363LF0000X
Family Nurse Practitioner
Primary
R0128239
OK
Other
Enumeration date
09/07/2016
Last updated
08/12/2025
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