Pauline Fraley, BS
Individual provider Active NPI Other Technician · Duffield, VA
NPI 1447374657 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1447374657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- Practice address
- 4907 Boone Trail Road
Duffield, VA 24244 - Phone
- (276) 431-4473
- Fax
- (276) 431-4484
- NPI assigned
- Mar 16, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frontier Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | Yes |
Addresses
Primary practice location
4907 Boone Trail Road
Duffield, VA 24244
Mailing address
PO Box 9054
Gray, TN 37615-9054
Phone (423) 467-3600
Other providers in Duffield, VA
- Duffield Volunteer Fire and Rescue Squad Inc
- Family Preservation Services, Inc
- Family Presrevation Services, Inc
- Gail R Feagins
- Olimpo Fernando Fonseca
- Frontier Health
- Frontier Health
- Frontier Health
- Frontier Health
- Dewayne Steven Garrett
All providers in Duffield, VA · Other Technician in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.