Provider Demographics
NPI:1356540967
Name:FRYMIER, DALE ANN
Entity type:Individual
Prefix:MS
First Name:DALE
Middle Name:ANN
Last Name:FRYMIER
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 1:206 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-6220
Mailing Address - Country:US
Mailing Address - Phone:440-662-1807
Mailing Address - Fax:
Practice Address - Street 1:1309 1/2 W 2ND ST
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44052-1373
Practice Address - Country:US
Practice Address - Phone:440-396-6750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-13
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2308765Medicaid