Provider Demographics
NPI:1740677178
Name:FRYE, CHRISTELL LOUISE (RN)
Entity type:Individual
Prefix:MS
First Name:CHRISTELL
Middle Name:LOUISE
Last Name:FRYE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
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Mailing Address - Street 1:1651 BEECH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55106-4908
Mailing Address - Country:US
Mailing Address - Phone:651-734-3564
Mailing Address - Fax:651-774-5517
Practice Address - Street 1:317 YORK AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55130-4039
Practice Address - Country:US
Practice Address - Phone:651-774-0202
Practice Address - Fax:651-774-5517
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-23
Last Update Date:2015-04-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR163674-5163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse