Provider Demographics
NPI:1003010232
Name:FRYE, ERIN H (LMT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:H
Last Name:FRYE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 FIRST PLAZA CTR NW STE 67
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87102-3347
Mailing Address - Country:US
Mailing Address - Phone:505-247-1469
Mailing Address - Fax:
Practice Address - Street 1:20 FIRST PLAZA CTR NW STE 67
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3347
Practice Address - Country:US
Practice Address - Phone:505-247-1469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM5390175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath