Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0101238568 | VA |
Y | 2080P0214X | Pediatric Pulmonologist | 0101238568 | VA |
NPI | 1487791000 |
---|---|
Provider Name | Dr. Marcia Lynne Frye |
First Address | Portsmouth, VA 23708-2111 |
Second Address | Portsmouth, VA 23708-2111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 27/01/2022 |