MS. SUSAN MARILYN FRYE RN PHN GNPC NPI 1811930894

NPI Information

  • NPI: 1811930894
  • Provider Name: MS. SUSAN MARILYN FRYE, RN, PHN, GNP,C
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3440 HOLLYWOOD BLVD
    SUITE 460
    HOLLYWOOD, FL
    ZIP 33021
  • Phone: (866) 986-2263

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NPI Details

MS. Susan Marilyn Frye, RN, PHN, GNP,C is a gerontology nurse practitioner in Hollywood, FL. MS. Susan Marilyn Frye, RN, PHN, GNP,C NPI is 1811930894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3440 HOLLYWOOD BLVD
SUITE 460
HOLLYWOOD, FL
ZIP 33021-927
Phone: (866) 986-2263
Fax: (866) 968-6339

The NPI 1811930894 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 6/14/2006 and was last updated on 12/8/2011.

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
1363LG0600XNurse PractitionerGerontology399028CALIFORNIAYes

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: 3/30/2025

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