Individual provider · Type 1 NPI

Nicole Erica De Fries, MD

Student in an Organized Health Care Education/Training Program · Lexington, KY

NPI number 1669112942 Active

Practice location

800 Rose St, Rm MN-472
Lexington, KY 40536-0293

Call (859) 323-5157 Map

Fax (859) 323-1214

Mailing address

800 Rose St Rm MN-472
Lexington, KY 40536-0293

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1669112942

Nicole Erica De Fries, MD's National Provider Identifier is 1669112942, issued on Apr 1, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lexington, KY. The record was last updated on Apr 1, 2022.