Dr SUSAN K FRADY is a female medical professional, specializing in Nurse Practitioner. She graduated in 2009.
METAMORPHOSIS LTD
113 LATIGO LN
SUITE D
CANON CITY
CO
812128115
Tel: 7193710000
| Npi | 1083935001 |
| Pac Id | 4486839107 |
| Professional Enrollment Id | I20110422000370 |
| Last Name | FRADY |
| First Name | SUSAN |
| Middle Name | K |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2009 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | METAMORPHOSIS LTD |
| Group Practice Pac Id | 1456573427 |
| Number Of Group Practice Members | 5 |
| Line 1 Street Address | 113 LATIGO LN |
| Line 2 Street Address | SUITE D |
| Marker Of Address Line 2 Suppression | |
| City | CANON CITY |
| State | CO |
| Zip Code | 812128115 |
| Phone Number | 7193710000 |
| Hospital Affiliation Ccn 1 | 061344 |
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| Professional Accepts Medicare Assignment | Y |
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