Provider Demographics
NPI:1952979015
Name:FRY, JANET GRIEVE (RN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:GRIEVE
Last Name:FRY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 CASSAL RD
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:WA
Mailing Address - Zip Code:98862-9134
Mailing Address - Country:US
Mailing Address - Phone:206-605-2102
Mailing Address - Fax:509-996-4418
Practice Address - Street 1:17 CASSAL RD
Practice Address - Street 2:
Practice Address - City:WINTHROP
Practice Address - State:WA
Practice Address - Zip Code:98862-9134
Practice Address - Country:US
Practice Address - Phone:206-605-2102
Practice Address - Fax:509-996-4418
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60242721163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management