Individual
KATHY ANNETTE FRASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Mailing address
645 S ROGERS ST, BLOOMINGTON, IN 47403-2353
(812) 339-1691
(812) 337-2438
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28125376A
IN
363LF0000X
Family Nurse Practitioner
Primary
71002676A
IN
Other
Enumeration date
01/30/2008
Last updated
08/14/2014
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