Individual
DEIDRE DANIELLE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FORT CARSON, CO 80913-4604
(719) 526-7000
Mailing address
1005 VENUS DR, COLORADO SPRINGS, CO 80905-7751
(580) 284-2113
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
914668
TX
Other
Enumeration date
03/13/2026
Last updated
03/13/2026
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