Individual
KATHY JEAN FRASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 982-0655
Mailing address
PO BOX 1669, CHARLOTTESVILLE, VA 22902-1669
(434) 906-0006
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001126151
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024126151
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8938245
—
VA
Enumeration date
06/23/2005
Last updated
12/14/2010
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