Individual
ALLISON FRAICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
508 STOCKTRAIL AVE, GILLETTE, WY 82716-3582
(307) 686-1413
Mailing address
508 STOCKTRAIL AVE, GILLETTE, WY 82716-3582
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110009382
VA
363A00000X
Physician Assistant
Primary
PA1348
WY
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
06/12/2023
Last updated
12/16/2025
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