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Individual

MRS. NANCY L FRAIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, NNP

Contact information

Practice address
1400 E BOULDER ST, COLORADO SPRINGS, CO 80909-5533
(719) 365-5000
Mailing address
5706 DUSTY CHAPS DR, COLORADO SPRINGS, CO 80923-4143
(719) 659-4762
(719) 591-4161

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
125913
CO

Other

Enumeration date
05/07/2009
Last updated
05/07/2009
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