Healthcare Provider Details

I. General information

NPI: 1982111068
Provider Name (Legal Business Name): ANALISE NOEL FRAZIER DNP, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANALISE NOEL MURPHY

II. Dates (important events)

Enumeration Date: 01/10/2018
Last Update Date: 07/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 W 8TH ST
JACKSONVILLE FL
32209
US

IV. Provider business mailing address

5791 UNIVERSITY CLUB BLVD N UNIT 1501
JACKSONVILLE FL
32277-1497
US

V. Phone/Fax

Practice location:
  • Phone: 904-244-3199
  • Fax:
Mailing address:
  • Phone: 573-356-1542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number9375340
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: