Individual
KELLY FRASIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
4181 108TH AVE NE, BLAINE, MN 55449-7439
(763) 581-2273
Mailing address
4181 108TH AVE NE, BLAINE, MN 55449-7439
(763) 581-2273
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6819
MN
Other
Enumeration date
08/01/2019
Last updated
12/26/2023
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