Mary Sheppard Fries in Homer - Nurse's Aide

Mary Sheppard Fries - NPI 1710017140

Mary Sheppard Fries is a Nurse's Aide in Homer, Alaska. Mary Sheppard Fries practices all healthcare services and medical treatments related to Nurse's Aide. The NPI Number for Mary Sheppard Fries is 1710017140. The last update date is 2007-07-09.

Mary Sheppard Fries's current location address is 4300 Bartlett St, Homer, Alaska. You can contact this provider via phone number 9072350369. The mailing address for Mary Sheppard Fries is 4300 Bartlett St, Homer, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Sheppard Fries
Address 4300 Bartlett St, Homer, Alaska
Phone Number 9072350369
Fax Number
Sole Proprietor N
Credentials RN

NPI Number Detail

NPI Number 1710017140
Provider Enumeration Date 2007-03-06
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 4300 Bartlett St
City Homer
State Alaska (AK)
Post Code 996037005
Phone Number 9072350369
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nurse's Aide
Taxonomy 376K00000X
Licence No HH2711
Definition:
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course genera

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
HH2711 AK --
CMG799 AK --
MSO272 AK --
NA3799 AK --
HC2563 AK --
PCG519A AK --

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FAQs about Mary Sheppard Fries

What is the unique identifier code issued to Mary Sheppard Fries by the Centers for Medicare & Medicaid Services?

The Mary Sheppard Fries has been assigned the NPI (National Provider Identifier) 1710017140. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Mary Sheppard Fries's facilities are situated?

The facilities of Mary Sheppard Fries are physically located at the following address: 4300 Bartlett St, Homer, AK, 996037005.

What is Mary Sheppard Fries's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Mary Sheppard Fries is Nurse's Aide, and the taxonomy classification code that categorizes this area of expertise is 376K00000X.

On what date did the Mary Sheppard Fries receive its 1710017140 assignment from the Centers for Medicare & Medicaid Services?

The Mary Sheppard Fries was assigned its 1710017140 by the Centers for Medicare & Medicaid Services on 2007-03-06.

As of what date was the information regarding Mary Sheppard Fries, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Sheppard Fries, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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