Individual
MRS. THERESA MARIE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,BC,ACNP
Contact information
Practice address
216 S KINGSHIGHWAY BLVD, SAINT LOUIS, MO 63110-1026
(314) 454-8680
Mailing address
1252 MCKINLEY AVE, SAINT LOUIS, MO 63119-1162
(314) 962-6097
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
13550
MO
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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