Individual
ROSHONDA E FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4517 38TH AVE, KENOSHA, WI 53144-3643
(262) 220-5815
Mailing address
4517 38TH AVE, KENOSHA, WI 53144-3643
(262) 220-5815
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10147-33
WI
363L00000X
Nurse Practitioner
Primary
2029020899
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F01201589
—
WI
Enumeration date
02/03/2020
Last updated
01/28/2025
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