Provider Demographics
NPI:1558190934
Name:FRYMIRE, KRISTEN NICHOLE (FNP-C)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:NICHOLE
Last Name:FRYMIRE
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1033 E MOUNT PLEASANT RD STE E
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47725-7149
Mailing Address - Country:US
Mailing Address - Phone:888-492-8722
Mailing Address - Fax:
Practice Address - Street 1:1033 E MOUNT PLEASANT RD STE E
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47725-7149
Practice Address - Country:US
Practice Address - Phone:888-492-8722
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-01
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28180161C163W00000X
IN71015796A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse