Individual
JULIE FRAZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
Mailing address
305 E 800 N, UNIONDALE, IN 46791-9747
(260) 417-3352
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28119297A
IN
Other
Enumeration date
01/20/2019
Last updated
01/20/2019
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