Individual
MRS. BETHANY FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
5900 WATERLOO RD, SUITE 110, COLUMBIA, MD 21045-2639
(443) 451-1614
(443) 451-1619
Mailing address
5900 WATERLOO RD, SUITE 110, COLUMBIA, MD 21045-2639
(443) 451-1614
(443) 451-1619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R175641
MD
Other
Enumeration date
01/25/2012
Last updated
02/27/2017
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