Individual
JENNIFER L FRYDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8571
(920) 926-8298
Mailing address
421 CAMELOT DR, FOND DU LAC, WI 54935-8335
(920) 926-8571
(920) 926-8298
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6492
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548636749
—
WI
Enumeration date
08/11/2015
Last updated
11/18/2024
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