Doctor Name: | ROSINA FRAZIER |
NPI Number: | 1154572394 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 041249978 |
Business Practice Address: | 16601 Kilbourne Ave Oak Forest, IL - 604524621 |
Business Phone Number: | 7083338653 |
Business Fax Number: | 7083338659 |
Mailing Address: | 16601 Kilbourne Ave, OAK FOREST |
State: | IL |
Postal Code: | 604524621 |
Phone Number: | 7083338653 |
Fax Number: | 7083338659 |
NPI Enumeration Date: | 10/07/2008 |
NPI Last Update Date: | 10/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SM0705X |
License Number: | 041249978 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Medical-Surgical |
Taxonomy Definition: |