Individual
DEBORAH SUE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3838 N RURAL ST, INDIANAPOLIS, IN 46205-2930
(317) 221-2306
(317) 221-2336
Mailing address
6718 E MICHIGAN ST, INDIANAPOLIS, IN 46219-4704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28072619A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28072619A
STATE LICENSE
IN
Enumeration date
02/28/2007
Last updated
07/08/2007
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