Provider Demographics
NPI:1508457342
Name:FRYER, ASHLEY RENAE
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:RENAE
Last Name:FRYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5118 NE ST JAMES RD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-1958
Mailing Address - Country:US
Mailing Address - Phone:360-927-1586
Mailing Address - Fax:
Practice Address - Street 1:5118 NE ST JAMES RD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-1958
Practice Address - Country:US
Practice Address - Phone:360-927-1586
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-02
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula