Person Information

Name:COLLEEN M FRIES

Address Information

Address(city state zipcode):Churchville PA18966

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Family HealthNumber:VP006078B
Profession:NursingStatus:ActiveDate This Status:1/12/2004
Issue Date:9/15/1999Expires:10/31/2017Last Renewed:9/23/2015

Prerequisite Information

Licensee:FRIES, COLLEEN MRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:008985Status:Agreement Terminated
Date of Association:Date of Expiration:

Licensee:FRIES, COLLEEN MRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:016964Status:Expired
Date of Association:Date of Expiration:

Licensee:FRIES, COLLEEN MRelationship:Prescriptive Authority
Type:Prescriptive AuthorityNumber:021626Status:Active
Date of Association:Date of Expiration:

Licensee:FRIES, COLLEEN MRelationship:Self Automatic
Type:Registered NurseNumber:RN281561LStatus:Active
Date of Association:Date of Expiration:

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