Provider Demographics
NPI:1245797117
Name:FRYBARGER, WENDE MARIA (CNP)
Entity Type:Individual
Prefix:MRS
First Name:WENDE
Middle Name:MARIA
Last Name:FRYBARGER
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:PO BOX 746093
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-6093
Mailing Address - Country:US
Mailing Address - Phone:773-759-7550
Mailing Address - Fax:312-929-0373
Practice Address - Street 1:OAK STREET HEALTH PHYSICIANS GROUP OF ARIZONA PLLC
Practice Address - Street 2:3820 NORTH ORACLE RD.
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-3227
Practice Address - Country:US
Practice Address - Phone:520-200-6707
Practice Address - Fax:520-300-8052
Is Sole Proprietor?:No
Enumeration Date:2019-02-26
Last Update Date:2023-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NM55373363LF0000X
AZ224955363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily