Individual
ANDRES MARCO FRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP
Contact information
Practice address
7345 COURAGE WAY, CHATTANOOGA, TN 37421-1555
(423) 602-9797
Mailing address
166 TIMBERLAND TRL, RINGGOLD, GA 30736-4554
(954) 909-3932
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN0000025231
TN
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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