Individual
MS. MINDI MARIE FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1201 SAM PERRY BLVD STE 280, FREDERICKSBURG, VA 22401-8400
(540) 361-2922
Mailing address
1201 SAM PERRY BLVD STE 280, FREDERICKSBURG, VA 22401-8400
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001221226
VA
363L00000X
Nurse Practitioner
Primary
0024177908
VA
363L00000X
Nurse Practitioner
SP010900
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103129038
—
PA
Enumeration date
10/21/2010
Last updated
05/05/2020
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