Deborah A Frazer, ARNP
Individual provider Active NPI Family Nurse Practitioner · Bunnell, FL
NPI 1164498101 · NPPES record last updated Jan 18, 2023
Key facts
- NPI
- 1164498101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1828882 (FL)
- Practice address
- 301 Dr Carter Blvd
Bunnell, FL 32110-6212 - Phone
- (386) 437-7350
- NPI assigned
- Feb 28, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1828882 | FL | MD | Obstetrics & Gynecology Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 1828882 | FL | |
| Family Nurse Practitioner | 363LF0000X | 1828882 | FL | Yes |
Addresses
Primary practice location
301 Dr Carter Blvd
Bunnell, FL 32110-6212
Mailing address
301 Dr Carter Blvd
Bunnell, FL 32110-6212
Phone (386) 437-7350
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 302251000 | Medicaid | FL |
Other providers in Bunnell, FL
- Flagler Pines Operations LLC
- Florida Department of Health
- Florida Department of Health
- Jennifer Lois Fraser
- Carmel Frawley
- Brittany C Gaskin
- Melissa Celene Guarnieri
- Misty Lynn Hamling
- Ashley Jessica Harris
- Jon Gilbert Hebblewhite
All providers in Bunnell, FL · Family Nurse Practitioner in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.