Provider Demographics
NPI:1871464966
Name:FRAZINE, ALEXIS PAIGE
Entity type:Individual
Prefix:
First Name:ALEXIS
Middle Name:PAIGE
Last Name:FRAZINE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1700 MARINAS EDGE WAY APT 415
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-1397
Mailing Address - Country:US
Mailing Address - Phone:618-638-8249
Mailing Address - Fax:
Practice Address - Street 1:1700 MARINAS EDGE WAY APT 415
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-1397
Practice Address - Country:US
Practice Address - Phone:618-638-8249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program