Individual
MR. FRED JAY FRAZIER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN,PMHNP-BC
Contact information
Practice address
3 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 969-3100
Mailing address
224 THOMPSON DAIRY RD, FARMINGTON, WV 26571-9000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN79419-PMHNP-BC
WV
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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