Individual
MISS VELMA ASNETH FRASIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN,RN,APN-BC
Contact information
Practice address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
Mailing address
5301 BROADWAY, WEST NEW YORK, NJ 07093-2622
(201) 866-9320
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00400600
NJ
Other
Enumeration date
11/04/2012
Last updated
11/04/2012
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