NPI | 1851076889 |
---|---|
Former Name | TIFFANY A FRAZIER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: MA RN279387) |
Additional Taxonomies | 163WD0400X Registered Nurse, Diabetes Educator (Licence: MA RN279387) |
163WE0003X Registered Nurse, Emergency (Licence: MA RN279387) | |
163WH0200X Registered Nurse, Home Health (Licence: MA RN279387) | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MA RN279387) | |
Enumeration Date | 2023-06-19 |
Last Update Date | 2023-06-19 |