Provider Demographics
NPI:1902349129
Name:FRAZER, SARAH HUNTER (FNP-NC)
Entity Type:Individual
Prefix:MS
First Name:SARAH
Middle Name:HUNTER
Last Name:FRAZER
Suffix:
Gender:F
Credentials:FNP-NC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E FAIRVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36106-1813
Mailing Address - Country:US
Mailing Address - Phone:334-233-5571
Mailing Address - Fax:
Practice Address - Street 1:601 E FAIRVIEW AVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-1813
Practice Address - Country:US
Practice Address - Phone:334-233-5571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-19
Last Update Date:2016-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALF1016658363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily