Individual
MS. JODY A. FRAZIER
Active
Individual
MS. JODY A. FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041380384
IL
163W00000X
Registered Nurse
76911-30
WI
367500000X
Certified Registered Nurse Anesthetist
209-007826
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209007826
IL
367500000X
Certified Registered Nurse Anesthetist
76911
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43358900
—
WI
Enumeration date
08/12/2006
Last updated
07/21/2022
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