Kelly Laura Fritz
Licensed Practical Nurse in Johnstown, PA. Individual provider (NPI-1).
NPI number1487380341
StatusActive
Last updated in NPPESJul 25, 2022
Details
- NPI
- 1487380341
- Entity type
- Individual (NPI-1)
- Name
- Kelly Laura Fritz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 25, 2022
- Certification date
- Jul 25, 2022
- Last updated
- Jul 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 293111 | PA | Yes |
Practice location
401 Broad StJohnstown, PA 15906-2745
Phone 814-535-6000
Mailing address
401 Broad StJohnstown, PA 15906-2745
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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