MR. DOUGLAS E FRY CRNP NPI 1427024454

NPI Information

NPI: 1427024454
Provider Name: MR. DOUGLAS E FRY, CRNP
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
231 AVON RD
NARBERTH, PA
ZIP 19072
Phone: (267) 263-0657
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MR. Douglas E Fry, CRNP is a psychiatric/mental health registered nurse in Narberth, PA. MR. Douglas E Fry, CRNP NPI is 1427024454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

231 AVON RD
NARBERTH, PA
ZIP 19072
Phone: (267) 263-0657
Fax: (267) 263-0667

The NPI 1427024454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2006 and was last updated on 7/19/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	RN247115L	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	035515	MEDICARE ID-TYPE UNSPECIFIED
2	P24141	MEDICARE UPIN
3	7660353	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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