Fry, Mindi Marie

Fry, Mindi Marie is an individual health care provider with primary practice located at 1201 Sam Perry Blvd Ste 280 , Fredericksburg VA 22401-8400. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fry, Mindi Marie can be contacted via phone (540) 361-2922.

Contact Information

Primary practice address
1201 Sam Perry Blvd Ste 280 Fredericksburg VA 22401-8400
Phone: (540) 361-2922
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP010900 Pennsylvania
Nursing Service Providers / Registered Nurse 163W00000X 0001221226 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 0024177908 Virginia

Profile Details

NPI number 1447560669
LBN Legal business name Fry, Mindi Marie
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2010
Last updated May 5th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447560669 NPPES
Pennsylvania MEDICAID 103129038

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