Provider Demographics
NPI:1194048579
Name:FRYLING, HEATHER (ND)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:
Last Name:FRYLING
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:
Other - Last Name:GROSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1603 116TH AVE NE STE 111
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3009
Mailing Address - Country:US
Mailing Address - Phone:425-449-8190
Mailing Address - Fax:425-449-8486
Practice Address - Street 1:1603 116TH AVE NE STE 111
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3009
Practice Address - Country:US
Practice Address - Phone:425-449-8190
Practice Address - Fax:425-449-8486
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2010-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT60133054175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath