Carol Ann Frazier II

Individual provider Active NPI Licensed Practical Nurse · Lexington, OH

NPI 1104082270 · NPPES record last updated Jul 29, 2008

Key facts

NPI
1104082270
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
PN049294 (OH)
Practice address
37 Devon Rd
Lexington, OH 44904-1018
Phone
(419) 564-2440
NPI assigned
Jul 29, 2008
Sex
Female
Sole proprietor
Yes

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
PN049294OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X PN049294 OH Yes

Addresses

Primary practice location

37 Devon Rd
Lexington, OH 44904-1018

Mailing address

37 Devon Rd
Lexington, OH 44904-1018
Phone (419) 564-2440

Other providers in Lexington, OH

All providers in Lexington, OH · Licensed Practical Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.