Provider Demographics
NPI:1588814354
Name:NANCY FRUIN, ARNP, MSN, INC
Entity Type:Organization
Organization Name:NANCY FRUIN, ARNP, MSN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRUIN
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:850-878-4885
Mailing Address - Street 1:1245 CEDAR CENTER DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-4877
Mailing Address - Country:US
Mailing Address - Phone:850-878-4885
Mailing Address - Fax:850-656-2853
Practice Address - Street 1:1245 CEDAR CENTER DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-4877
Practice Address - Country:US
Practice Address - Phone:850-878-4885
Practice Address - Fax:850-656-2853
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty