Individual
DIANNE T, FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
204 S MOUNTAIN AVE, MOUNT HOPE, WV 25880-1129
(304) 877-9133
(304) 877-2165
Mailing address
PO BOX 337, SCARBRO, WV 25917-0337
(304) 469-2905
(304) 465-5486
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
62597
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7102315000
—
WV
Enumeration date
07/17/2006
Last updated
03/19/2015
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