| NPI Details | |
|---|---|
| NPI | 1235460965 |
| Gender | Female |
| Enumeration Date | 01/20/2010 |
| Last Updated | 11/23/2015 |
| Entity Type | Individual |
| Active | Over 8 years ago |
| Practice Location | |
|---|---|
| 920 2ND AVE S SUITE 400 MINNEAPOLIS MN, 55402-3318, US |
|
| Phone | (612) 225-1534 |
| Fax | |
| Business Location | |
|---|---|
| 75-5751 KUAKINI HWY 101A KAILUA KONA HI, 96740-1705, US |
|
| Phone | (808) 326-5629 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 363LF0000X |
| License State | Pennsylvania |
| License Number | SP010516 |
| Remove 1235460965 NPI Number | |
According to our database, Elizabeth Fryer NPI is 1235460965, taxonomy code is 363LF0000X and license number is SP010516, license state is located at Pennsylvania. Elizabeth Fryer physically located at 920 2nd Ave S, Minneapolis MN, 55402-3318. NPI Number Elizabeth Fryer has the Individual type.
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1235460965 NPI number is provided on an as is basis without warranty of any kind. 1235460965 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth Fryer are for informational purposes only.
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