Provider Demographics
NPI:1285498055
Name:FRYE, CATHERINE ELIZABETH (STNA)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ELIZABETH
Last Name:FRYE
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:CATIBETH
Other - Middle Name:
Other - Last Name:FRYE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1112 MILLSTON RD APT 54
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:OH
Mailing Address - Zip Code:45101-9562
Mailing Address - Country:US
Mailing Address - Phone:937-515-2647
Mailing Address - Fax:
Practice Address - Street 1:1112 MILLSTON RD APT 32
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:OH
Practice Address - Zip Code:45101-9560
Practice Address - Country:US
Practice Address - Phone:937-515-2647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-12
Last Update Date:2024-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant