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Individual

ARIELLA FRAZIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2255 STURGIS RD, CONWAY, AR 72034-8029
(501) 858-3048
Mailing address
5 MONT BLANC CV, MAUMELLE, AR 72113-6044
(501) 786-1019

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
A005832
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2018008709
CERTIFICATION NUMBER
AR
01
A005832
LICENSE
AR
Enumeration date
08/21/2018
Last updated
03/07/2023
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