Individual provider · NPI-1
Amanda Fry, RN
Registered Nurse, Psych/Mental Health · Ashland, KY
NPI number1952999211
StatusActive
Last updated in NPPESFeb 28, 2025
Details
- NPI
- 1952999211
- Entity type
- Individual (NPI-1)
- Name
- Amanda Fry
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 4, 2021
- Certification date
- Feb 28, 2025
- Last updated
- Feb 28, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0808X | Registered Nurse, Psych/Mental Health | 1167323 | KY | Yes |
| 163WG0000X | Registered Nurse, General Practice | 1167323 | KY |
Practice location
1212 Bath AveAshland, KY 41101-2696
Phone 606-329-8588
Mailing address
Po Box 790Ashland, KY 41105-0790
Phone 606-329-8588
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