Individual
MRS. JACQUELINE ANNMARIE FRASCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6677 W THUNDERBIRD RD, SUITE C-142, GLENDALE, AZ 85306-3709
(623) 247-1081
(623) 247-2962
Mailing address
6677 W THUNDERBIRD RD, SUITE C-142, GLENDALE, AZ 85306-3709
(623) 247-1081
(623) 247-2962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP2367
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155391
—
AZ
Enumeration date
10/02/2006
Last updated
03/25/2015
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