Individual
CARLY ANN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
127 CHURCH RD STE 800, MARLTON, NJ 08053-9425
(856) 988-7899
Mailing address
127 CHURCH RD STE 800, MARLTON, NJ 08053-9425
(856) 988-7899
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00652800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26NJ00652800
LICENSE NUMBER
NJ
Enumeration date
09/25/2016
Last updated
11/14/2025
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