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NPI Code Detail

MEDICARE: MRS. WENDE MARIA FRYBARGER CNP

MEDICARE: MRS. WENDE MARIA FRYBARGER CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner55373NM
2363L00000XNurse Practitioner224955AZ

General Provider Information

NPI Number : 1245797117
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. WENDE MARIA FRYBARGER CNP
Provider Business Mailing Address
First Line : PO BOX 746093
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6093
Country : US
Telephone Number : 773-759-7550
Fax Number : 312-929-0373
Provider Business Practice Location Address
First Line : OAK STREET HEALTH PHYSICIANS GROUP OF ARIZONA PLLC
Second Line : 3820 NORTH ORACLE RD.
City : TUCSON
State : AZ
Zip : 85705-3227
Country : US
Telephone Number : 520-200-6707
Fax Number : 520-300-8052
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2019
Last Update Date : 07/21/2023

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