# MS. VICKIE BRADLEY FRASER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104165893
- **Gender:** F
- **Credential:** APRN, PMHNP-BC, LPC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC0200X | Critical Care Medicine Registered Nurse | 1150760 | KY | — |
| 163WC0200X | Critical Care Medicine Registered Nurse | RN.427558 | OH | — |
| 2084P0800X | Psychiatry Physician | 3017561 | KY | — |
| 2084P0800X | Psychiatry Physician | APRN.CNP.0031019 | OH | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | APRN.CNP.0031019 | OH | Yes |

## Other

- **Enumeration date:** 01/31/2013
- **Last updated:** 10/31/2022