Individual
DR. NICOLE FABIANO FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C
Contact information
Practice address
1501 10TH ST, ALAMOGORDO, NM 88310-5044
(575) 434-2960
Mailing address
7265 DUSTY TRL, ROSCOE, IL 61073-8019
(815) 871-3144
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041437418
IL
163W00000X
Registered Nurse
61912
NM
363LF0000X
Family Nurse Practitioner
Primary
61912
NM
Other
Enumeration date
08/29/2019
Last updated
11/05/2020
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