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Individual

AMBER FRAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1 FERRELL ROAD, ROSICLARE, IL 62982-2467
(618) 285-2800
Mailing address
PO BOX 2467, ROSICLARE, IL 62982-2467
(618) 285-2800

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2012034636
MO
363LF0000X
Family Nurse Practitioner
Primary
209.009977
IL
363LF0000X
Family Nurse Practitioner
3007781
KY

Other

Enumeration date
10/08/2012
Last updated
01/10/2013
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