Dawn Frye, LMP
Individual provider Active NPI Contractor · Spanaway, WA
NPI 1477844330 · NPPES record last updated Apr 27, 2011
Key facts
- NPI
- 1477844330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- MA60191880 (WA)
- Practice address
- 4727 231St Street CT E
Spanaway, WA 98387-6156 - Phone
- (253) 307-2898
- NPI assigned
- Apr 27, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60191880 | WA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | MA60191880 | WA | Yes |
Addresses
Primary practice location
4727 231St Street CT E
Spanaway, WA 98387-6156
Mailing address
4727 231St Street CT E
Spanaway, WA 98387-6156
Phone (253) 307-2898
Other providers in Spanaway, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.