Individual
FRANKLIN R FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
642 W HOSPITAL RD, PAOLI, IN 47454-9672
(812) 723-2811
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
12444
TN
367500000X
Certified Registered Nurse Anesthetist
188442
GA
367500000X
Certified Registered Nurse Anesthetist
Primary
28195968A
IN
367500000X
Certified Registered Nurse Anesthetist
3006466
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102278633
ANTHEM PTAN
IN
05
—
201026250A (JPG)
—
IN
01
—
940070015
MEDICARE PTAN
IN
01
—
Q00440163
RAILROAD PTAN
IN
Enumeration date
01/23/2007
Last updated
05/31/2024
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