Individual
CAROLYN FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
23077 GREENFIELD RD STE 156, SOUTHFIELD, MI 48075-3770
(586) 257-0680
(586) 863-4680
Mailing address
23077 GREENFIELD RD STE 156, SOUTHFIELD, MI 48075-3770
(313) 405-3195
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704144422
MI
363LP2300X
Primary Care Nurse Practitioner
4704144422
MI
Other
Enumeration date
10/15/2018
Last updated
10/15/2018
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