Individual
TIFFANY MARIE FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1727 E PECOS RD APT 2054, GILBERT, AZ 85295-1868
(414) 544-1512
Mailing address
10233 W IRONWOOD DR, CASA GRANDE, AZ 85194-7568
(414) 544-1512
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F05240559
AZ
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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