Provider Demographics
NPI:1902287857
Name:FRAZIER, BRIDGET (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:BRIDGET
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7601 OSLER DR
Mailing Address - Street 2:NEONATAL INTENSIVE CARE UNIT - 3RD FLOOR
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7700
Mailing Address - Country:US
Mailing Address - Phone:410-337-1150
Mailing Address - Fax:410-427-1844
Practice Address - Street 1:7601 OSLER DR
Practice Address - Street 2:NEONATAL INTENSIVE CARE UNIT - 3RD FLOOR
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7700
Practice Address - Country:US
Practice Address - Phone:410-337-1150
Practice Address - Fax:410-427-1844
Is Sole Proprietor?:No
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR169532363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal