Individual
KATIE ANN FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
900 S CENTRAL AVE, ROXANA, IL 62084-1337
(618) 255-2895
(618) 255-3097
Mailing address
900 S CENTRAL AVE, ROXANA, IL 62084-1337
(618) 255-2895
(618) 255-3097
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.12734
IL
363LF0000X
Family Nurse Practitioner
209012734
IL
Other
Enumeration date
04/18/2015
Last updated
02/13/2025
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