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COURTNEY ELISABETH FRADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2525 COURT DR, GASTONIA, NC 28054-2140
(704) 834-2000
(704) 834-2500
Mailing address
PO BOX 744786, ATLANTA, GA 30374-4786
(704) 834-2450
(704) 671-5331

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5013390
NC
363LF0000X
Family Nurse Practitioner
Primary
5013390
NC
363LF0000X
Family Nurse Practitioner
APRN.CNP.0031893
OH

Other

Enumeration date
08/06/2020
Last updated
05/24/2023
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