Individual
AARON K. FRAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
1304 FRANKLIN AVE STE 380, NORMAL, IL 61761-3558
(309) 268-5130
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801-2500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP95001308
CA
363LF0000X
Family Nurse Practitioner
Primary
277000489
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP95001308
MEDICAL LICENSE
CA
Enumeration date
09/25/2014
Last updated
02/21/2024
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