Individual
COLLEEN M FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
460 NEW RD, CHURCHVILLE, PA 18966-1040
(215) 880-8861
Mailing address
460 NEW RD, CHURCHVILLE, PA 18966-1040
(215) 880-8861
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
VP006078B
PA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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