Mrs Judy Ann Fryover, NP | |
427 W Grand River Ave, Portland, MI 48875-1122 | |
(517) 647-4867 | |
(517) 647-4867 |
Full Name | Mrs Judy Ann Fryover |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 427 W Grand River Ave, Portland, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750574950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 470 (Michigan) | Primary |
Entity Name | Dhhs Ihs Colville Service Unit |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811091911 PECOS PAC ID: 0941302509 Enrollment ID: O20070228000304 |
Entity Name | Omak Tribal Health Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639210370 PECOS PAC ID: 1557458510 Enrollment ID: O20071107000666 |
Mailing Address | Practice Location Address |
---|---|
Mrs Judy Ann Fryover, NP 427 W Grand River Ave, Portland, MI 48875-1122 Ph: (517) 647-4867 | Mrs Judy Ann Fryover, NP 427 W Grand River Ave, Portland, MI 48875-1122 Ph: (517) 647-4867 |
Penny L Thompson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9751 E Grand River Ave, Portland, MI 48875 Phone: 517-647-6722 Fax: 517-647-6838 | |
Christina Knoop, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1850 Hyland Dr, Portland, MI 48875 Phone: 517-647-6722 | |
Allison Green, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 406 Kent St, Portland, MI 48875 Phone: 517-647-4166 Fax: 517-647-2473 |