Individual
MRS. BARBARA ANN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
19531 COCHRAN BLVD, PORT CHARLOTTE, FL 33948-2081
(941) 255-3535
(941) 766-7999
Mailing address
2675 WINKLER AVE, FL 2, FORT MYERS, FL 33901-9342
(877) 856-3774
(239) 599-2612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
985652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034582200
—
FL
01
—
Y6898P
MEDICARE PTAN
FL
01
—
Y6898R
MEDICARE PTAN
FL
Enumeration date
10/18/2005
Last updated
09/08/2021
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