Katherine Frazier

Individual provider Active NPI Licensed Practical Nurse · Saint Ignace, MI

NPI 1003308628 · NPPES record last updated May 30, 2018

Key facts

NPI
1003308628
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703107262 (MI)
Practice address
799 Hombach St
Saint Ignace, MI 49781-1735
Phone
(906) 298-8000
NPI assigned
May 30, 2018
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
4703107262MIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Network Behavioral Health Services Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703107262 MI Yes

Addresses

Primary practice location

799 Hombach St
Saint Ignace, MI 49781-1735

Mailing address

799 Hombach St
Saint Ignace, MI 49781-1735
Phone (906) 298-8000

Other providers in Saint Ignace, MI

All providers in Saint Ignace, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.