Michael A Frazer, LPN
Individual provider Active NPI Registered Nurse · Cass Lake, MN
NPI 1821114810 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821114810
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- L061892-6 (MN)
- Practice address
- 425 7TH St NW
Cass Lake, MN 56633-3360 - Phone
- (218) 335-3200
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L061892-6 | MN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L061892-6 | MN | Yes |
Addresses
Primary practice location
425 7TH St NW
Cass Lake, MN 56633-3360
Mailing address
425 7TH St NW
Cass Lake, MN 56633-3360
Phone (218) 335-3200
Other providers in Cass Lake, MN
- Melissa Dawn Falcon
- Joanna Marie Ferraro
- Constance B Fitzgerald-Kimmerle
- Carole Forseman
- Edward George Franckowiak
- Jeffery Allen Geiger
- Bernadette Marie Gotchie
- Lindsay M Gray
- Megan Elizabeth Griffey
- Jadilyn Nguyen Grittner
All providers in Cass Lake, MN · Registered Nurse in Minnesota
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.