Doctor Name: | MS. JANIS LYN FRAZEE |
NPI Number: | 1457351751 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RNC MSN |
License Number: | 4704124608 |
Business Practice Address: | 6051 Frankfort Hwy Suite 100 Benzonia, MI - 496169558 |
Business Phone Number: | 2318822230 |
Business Fax Number: | 2318822204 |
Mailing Address: | 7426 S Rosinski Rd, CEDAR |
State: | MI |
Postal Code: | 496219605 |
Phone Number: | 2312287173 |
Fax Number: | |
NPI Enumeration Date: | 07/28/2005 |
NPI Last Update Date: | 05/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 4704124608 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |