Provider Demographics
NPI:1205542404
Name:FRAZIER, ERIKA (RN)
Entity type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2163 S THATCHER CIR # 95
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5611
Mailing Address - Country:US
Mailing Address - Phone:316-648-6322
Mailing Address - Fax:
Practice Address - Street 1:2163 S THATCHER CIR # 95
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67207-5611
Practice Address - Country:US
Practice Address - Phone:316-648-6322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13-155075-121163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine