Individual
ANDREA FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
112 CHESTNUT ST, COSHOCTON, OH 43812-1129
(740) 291-8100
Mailing address
112 CHESTNUT ST, COSHOCTON, OH 43812-1129
(740) 291-8100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA16505-NP
OH
Other
Enumeration date
03/31/2015
Last updated
03/31/2015
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