Healthcare Provider Details

I. General information

NPI: 1255272910
Provider Name (Legal Business Name): MONICA MACHELLE FRAZIER CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2026
Last Update Date: 04/04/2026
Certification Date: 04/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 CROWNVIEW CT
CLAYTON NC
27527-5498
US

IV. Provider business mailing address

19 CROWNVIEW CT
CLAYTON NC
27527-5498
US

V. Phone/Fax

Practice location:
  • Phone: 919-295-0846
  • Fax:
Mailing address:
  • Phone: 919-423-0870
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number415000
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: