Individual
EDITH ARNETTA FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2119 BRILLANTE DR, SAINT CLOUD, FL 34771-8742
(845) 394-1385
Mailing address
4 AMY LN, MIDDLETOWN, NY 10941-2002
(845) 275-2452
Taxonomy
Speciality
Code
Description
License number
State
163WC1400X
College Health Registered Nurse
Primary
9628719
FL
164W00000X
Licensed Practical Nurse
3014471
NY
Other
Enumeration date
04/18/2013
Last updated
10/03/2024
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