Individual
MS. ANGELA MARIE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
411 E CHESTNUT ST # 4B, LOUISVILLE, KY 40202-1713
(502) 588-3600
(502) 588-9536
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3005448
KY
363LF0000X
Family Nurse Practitioner
Primary
3005448
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053415
MEDICARE
KY
05
—
7100033080 (KOHMG)
—
KY
Enumeration date
12/17/2007
Last updated
10/16/2020
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