Individual
BONNIE L FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
7 EAST HENDRICKS STREET, SHELBYVILLE, IN 46176-2124
(317) 392-2564
(317) 392-9545
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
Primary
70000220A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200931470
—
IN
Enumeration date
12/02/2008
Last updated
11/27/2023
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