Individual
AMY FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, AGACNP-BC
Contact information
Practice address
1650 W COLLEGE ST, GRAPEVINE, TX 76051-3565
(817) 388-3440
(817) 388-3441
Mailing address
3113 HOLLOW VALLEY DR, FORT WORTH, TX 76244-5536
(817) 851-4777
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP143824
TX
363LG0600X
Gerontology Nurse Practitioner
AP143824
TX
Other
Enumeration date
12/07/2019
Last updated
12/07/2019
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