MEDICARE: DELPHINE FRU APRN, PMHNP-BC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1036068	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP002116	GA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	NP500020358	DC
4	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	RN10017563	MA
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	G183859	IA
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0024188815	VA
7	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	0003369	CO
8	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	61371286	WA
9	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	76059	NM
10	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AC006385	MD
11	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	404836	NY

General Provider Information

NPI Number	:	1285301259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DELPHINE FRU APRN, PMHNP-BC

Provider Business Mailing Address
First Line	:	2401 FOUNTAIN VIEW DR STE 464
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-4819
Country	:	US
Telephone Number	:	346-298-4171
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 FOUNTAIN VIEW DR STE 464
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-4819
Country	:	US
Telephone Number	:	346-298-4171
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2021
Last Update Date	:	06/18/2025

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