Provider Demographics
NPI:1902134042
Name:FRAZIER, MEREDITH BROOKE (NP)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:BROOKE
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 JONES FRANKLIN RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27606-3381
Mailing Address - Country:US
Mailing Address - Phone:919-859-1961
Mailing Address - Fax:919-859-4456
Practice Address - Street 1:801 JONES FRANKLIN RD
Practice Address - Street 2:SUITE 110
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27606-3381
Practice Address - Country:US
Practice Address - Phone:919-859-1961
Practice Address - Fax:919-859-4456
Is Sole Proprietor?:No
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC05003732363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily