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Individual

ROXANN FRAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026
Mailing address
1600 BLACK ROCK RD, ROYERSFORD, PA 19468-3147
(610) 792-2224
(610) 792-4026

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN523920L
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
SP012220
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
016556
PRESCRIPTIVE AUTHORITY
PA
01
RN523920L
NURSING LICENSE
PA
01
SP012220
CRNP LICENSE
PA
Enumeration date
11/15/2012
Last updated
11/15/2012
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