Individual
MS. REBEKAH AGNES ANN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4420 WILDERNESS RUN CIR, EAGAN, MN 55123-1834
(952) 240-3163
Mailing address
4420 WILDERNESS RUN CIR, EAGAN, MN 55123-1834
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP 0831
MN
363LF0000X
Family Nurse Practitioner
831
MN
Other
Enumeration date
03/20/2012
Last updated
02/10/2025
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