Mr. Corey William Fry
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
2301 Erwin Rd Box 3677
Durham
, North Carolina 27705-4699
Mr. Corey William Fry
Nurse Practitioner - Acute Care Nurse Practitioner - Critical Care Medicine
2301 Erwin Rd Box 3677
Durham
, North Carolina 27705-4699
(919) 684-8111
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About
Features
Specialties
- Nurse Practitioner - Acute Care
- Nurse Practitioner - Critical Care Medicine
Languages spoken
- English
Location
First Address
- Mr. Corey William Fry
- 2301 Erwin Rd Box 3677
- Durham, NC
- Zip : 27705-4699
- Phone : (919) 684-8111
Second Address
- Mr. Corey William Fry
- 2301 Erwin Rd Box 3677
- Durham, NC
- Zip : 27705-4699
- Phone : (919) 684-8111
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Is Mr. Corey William Fry a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LA2100X | Nurse Practitioner - Acute Care | 19960 | CA |
| N | 363LA2100X | Nurse Practitioner - Acute Care | 201050219NP | OR |
| Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5008726 | NC |
National Provider Identifier
| NPI | 1609177708 |
|---|---|
| Provider Name | Mr. Corey William Fry |
| First Address | Durham, NC 27705-4699 |
| Second Address | Durham, NC 27705-4699 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/11/2010 |
| Last Update Date | 02/02/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.