Healthcare Provider Details

I. General information

NPI: 1659120970
Provider Name (Legal Business Name): TRINA ESTERS FRAZIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2024
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9187 CENTRAL AVE
CAPITOL HEIGHTS MD
20743-3806
US

IV. Provider business mailing address

50 SNELLINGS CT
SEVERNA PARK MD
21146-4828
US

V. Phone/Fax

Practice location:
  • Phone: 301-856-9405
  • Fax:
Mailing address:
  • Phone: 301-503-0308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: