Healthcare Provider Details

I. General information

NPI: 1891625109
Provider Name (Legal Business Name): ANA FRAZIER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 S FREMONT AVE STE 1100
SPRINGFIELD MO
65804-2239
US

IV. Provider business mailing address

1264 TIMBER CREEK DR
CAPE GIRARDEAU MO
63701-2621
US

V. Phone/Fax

Practice location:
  • Phone: 417-820-3554
  • Fax: 417-820-3587
Mailing address:
  • Phone: 573-718-9303
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2022004567
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: