Individual
SUSAN C. FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
725 ALBANY ST, SHAPIRO 9, SUITE A, BOSTON, MA 02118-2526
(617) 638-6100
(617) 638-6179
Mailing address
720 HARRISON AVENUE, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN146219
MA
363LG0600X
Gerontology Nurse Practitioner
Primary
RN146219
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110025268A
—
MA
01
—
M20191
MEDICARE
MA
01
—
P00413847
RAILROAD MEDICARE
MA
Enumeration date
08/13/2006
Last updated
02/06/2015
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