MRS. JUDY ANN FRYOVER (NPI# 1750574950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750574950 |
Entity Type | Individual |
Full Name | MRS. JUDY ANN FRYOVER |
Credential | NP |
Practice Address |
427 W Grand River Ave Portland MI 48875-1122 |
Practice Telephone | 5176474867 |
Practice Fax Number | 5176474867 |
Mailing Telephone | 5176474867 |
Mailing Fax Number | 5176474867 |
Enumeration Date | 2007-08-21 |
Last Update Date | 2007-08-21 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
470 | MI | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
427 W GRAND RIVER AVE |
City | PORTLAND |
State | MI |
Zip Code | 48875-1122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750635025 | Gretchen Findlay | Speech-Language Pathologist | 1330 E. Grand River Ave., Suite B, Portland, MI 48875 | 2012-11-07 |
1902970734 | Roger Duane Miller | Dentist | 811 West Grand River Ave, Portland, MI 48875 | 2006-11-20 |
1174612618 | Tom's Pharmacy LLC | Pharmacy | 1462 E Grand River Ave, Portland, MI 48875 | 2006-10-12 |
1033168828 | Jami M. Schneider | Dentist | 119 Bridge St., Portland, MI 48875 | 2006-05-09 |
1134197593 | Charlene Ann Pahl | Social Worker | 212 Kent St Ste 5, Child and Family Wellness Counseling Ctr, Portland, MI 48875 | 2006-03-10 |
1932187911 | Suzanne R Maystead | Optometrist | 1311 E Bridge Street, Portland, MI 48875 | 2006-01-09 |
1407143811 | Nicole Ann Mccrumb | Pharmacist | 1339 E Grand River Ave, Portland, MI 48875 | 2011-07-06 |
1629617402 | Roger A Doak | Specialist/Technologist | 1100 Ionia Rd, Portland, MI 48875-1035 | 2019-12-27 |
1518312032 | Brenda Hiemstra | Technician, Other | 120 Bethel Dr, Portland, MI 48875-1104 | 2016-05-03 |
1104274992 | Morgan Alexandra Thelen | Dentist | 811 W Grand River Ave, Portland, MI 48875-1126 | 2016-06-02 |
Find all providers in zip 48875 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
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1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.